HOUSE OF CARE, INC (NPI# 1720410426) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720410426 |
| Entity Type | Organization |
| Organization Name | HOUSE OF CARE, INC |
| Practice Address |
1817 Bivins St Durham NC 27707-1503 |
| Mailing Address |
3500 Westgate Dr Suite 501 Durham NC 27707-2567 |
| Practice Telephone | 9194936871 |
| Practice Fax Number | 9194936878 |
| Mailing Telephone | 9194936871 |
| Mailing Fax Number | 9194936878 |
| Enumeration Date | 2013-08-05 |
| Last Update Date | 2013-08-05 |
| Authorized Official Name | OGO EMODI-ONWUKA (DIRECTOR) |
| Authorized Official Telephone | 9194936871 |
| Authorized Official Credential | BA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | MHL-032-243 | NC | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8300547 | 05 | |
| NC | 3409340 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609275833 | House of Care, Inc | Community/Behavioral Health | 5800 Lake Elton Rd, Durham, NC 27713-2016 | 2014-08-13 |
| 1063854503 | House of Care, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 109 Deer Farm Ln, Willow Spring, NC 27592-8505 | 2013-07-25 |
| Street Address |
1817 BIVINS ST |
| City | DURHAM |
| State | NC |
| Zip Code | 27707-1503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538785928 | Ceara Smith | Social Worker | 1415 W Nc 54 Buidling 200, Suite 111, Durham, NC 27707 | 2020-06-22 |
| 1114554094 | Lauren Michelle Grosse | Physician Assistant | Fastmed Urgent Care 7010 Nc-751, Durham, NC 27707 | 2020-03-23 |
| 1386289635 | Ashley Bailey | Counselor | 1801 Fayetteville Street, Durham, NC 27707 | 2019-11-11 |
| 1881249886 | Erin Ramona Leger | Physical Therapist | 3706 Mayfair St, Ste 120, Durham, NC 27707 | 2019-08-06 |
| 1417417262 | Carmen Elisabeth Sanchez | Psychologist | 3326 Durham Chapel Hill Blvd Bldg D, Durham, NC 27707 | 2019-03-20 |
| 1477026144 | Pope Behavioral Health and Wellness | Counselor | 5102 Chapel Hill Durham Blvd., Suite 101, Durham, NC 27707 | 2019-01-06 |
| 1043780778 | Jessica Ann Revels | Counselor | 1415 West North Carolina 54, Building 100 Suite # 204, Durham, NC 27707 | 2018-11-26 |
| 1558830125 | Michael Brown | Counselor | 1502 W Nc-54, Suite 505, Durham, NC 27707 | 2018-11-13 |
| 1780152827 | Cassandra Gerwig Shaw | Registered Nurse | 5324 Mcfarland Dr Ste 310, Durham, NC 27707 | 2018-11-07 |
| 1942776232 | Lisa J Keskitalo | Physical Therapist | 3708 Mayfair St Ste 120, Durham, NC 27707 | 2018-10-15 |
| Find all providers in zip 27707 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730590035 | Devereux Residential Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 103 Settlers Mill Ln, Durham, NC 27713-8541 | 2014-05-08 |
| 1184984510 | Jasmine Shavon Bethea | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2618 Owen St, Durham, NC 27703-4356 | 2012-05-18 |
| 1194006569 | Rha Health Services Nc, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3101 Mossdale Ave, Durham, NC 27707-3805 | 2011-08-30 |
| 1144551219 | Big Brother,llc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1102 Lancaster St, Durham, NC 27701-1148 | 2010-01-28 |
| 1770721813 | Enrichment for Life, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1138 Drew St, Durham, NC 27701-2702 | 2009-01-28 |
| 1356474977 | Devereux Residential Services LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1024 Glenrose Dr, Durham, NC 27703-2669 | 2007-03-13 |
| 1083753073 | South Point Manor | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3218 Hwy 55, Durham, NC 27713 | 2007-02-06 |
| 1306995204 | Family Advancing More Effectively | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 9 Ratcale Ln, Durham, NC 27705-3889 | 2007-01-09 |
| 1235294737 | Gate-way Corporation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4 Galaxy Ct, Durham, NC 27705-2768 | 2006-12-26 |
| 1841351392 | Autism Services, Incorporated | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5004 Kenwood Rd, Durham, NC 27712-9718 | 2006-12-12 |
| Find all providers in DURHAM | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.