INNOVATIVE SENIOR CARE HOME HEALTH OF DURHAM LLC


Address: 1005 Slater Rd, Ste 330, Durham, NC 27703-8471
Phone: 9195448413

INNOVATIVE SENIOR CARE HOME HEALTH OF DURHAM LLC (NPI# 1841505724) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1841505724
Entity Type Organization
Organization Name INNOVATIVE SENIOR CARE HOME HEALTH OF DURHAM LLC
Other Organization Name BROOKDALE HOME HEALTH RALEIGH
Practice Address 1005 Slater Rd
Ste 330
Durham
NC 27703-8471
Mailing Address 111 Westwood Pl
Brentwood
TN 37027-5021
Practice Telephone 9195448413
Mailing Telephone 6152212550
Mailing Fax Number 6152212280
Enumeration Date 2010-08-16
Last Update Date 2020-05-14
Authorized Official Name DONNIS M. EVANS (MANAGER, REGULATORY PRACTICES)
Authorized Official Telephone 6155648181
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251E00000X Home Health HC0327 NC Agencies

Other Provider/Organization Names

Other Name Type Code
Brookdale Home Health Raleigh Doing Business As Name - Organization

Office Location

Street Address 1005 SLATER RD
STE 330
City DURHAM
State NC
Zip Code 27703-8471

Providers in the same location

NPI Name Taxonomy Address Enumeration
1083669873 Tender Loving Care Health Care Services Southeast, LLC Home Health 1005 Slater Rd, Suite 105, Durham, NC 27703-8448 2006-05-23
1962564567 Linda Herbin Hacke Physician Assistant 1005 Slater Rd, Suite 101, Durham, NC 27703-8448 2006-12-14
1730267089 Private Diagnostic Clinic Pllc Physical Therapist 1005 Slater Rd, Oxford Place Suite 120, Durham, NC 27703-8448 2006-11-02
1568546166 Richard Alan Clendaniel Physical Therapist 1005 Slater Rd, Suite 120, Durham, NC 27703-8448 2006-10-24
1992889331 Kathy Marlane Shipp Physical Therapist 1005 Slater Rd, Suite 120, Durham, NC 27703-8448 2006-10-24
1831273267 Eric Joseph Hegedus Physical Therapist 1005 Slater Rd, Suite 120, Durham, NC 27703-8448 2006-10-24
1326122763 Corrie Jane Odom Physical Therapist 1005 Slater Rd, Suite 120, Durham, NC 27703-8448 2006-10-24
1518041060 Chad E Cook Physical Therapist 1005 Slater Rd, Suite 120, Durham, NC 27703-8448 2006-10-24
1932283496 Adam Payne Goode Physical Therapist 1005 Slater Rd, Suite 120, Durham, NC 27703-8448 2006-10-24
1952408072 Jeffrey Kyle Covington Physical Therapist 1005 Slater Rd, Durham, NC 27703-8448 2006-09-20
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1285235218 Joseph Omalemigbo Abgateyiniro Durable Medical Equipment & Medical Supplies 1810 Shiva Court, Durham, NC 27703 2020-11-05
1326654278 Step By Step In Home Care LLC Home Health Imperial Business Park, 4819 Emperor Blvd Suite 400, Durham, NC 27703 2020-09-16
1023598463 Impact Therapy Services Speech-Language Pathologist 6 Winnabow Court, Durham, NC 27703 2018-08-15
1326536327 Renal Treatment Centers - Mid-atlantic, Inc. Clinic/Center 1100 N Miami Blvd Ste 500a, Durham, NC 27703 2018-04-25
1033621719 Duke University Preventive Medicine 4825 Creekstone Drive, Suite 105, Durham, NC 27703 2017-11-02
1023535564 Walgreen Co Durable Medical Equipment & Medical Supplies 3725 Wake Forest Hwy, Durham, NC 27703 2017-08-25
1487194171 Shivani L. Chudasama Social Worker 5475 Lumley Rd Ste 103, Durham, NC 27703 2017-03-01
1356886030 Rgh Enterprises, Inc. Durable Medical Equipment & Medical Supplies 4234 Surles Court, Suite 100, Durham, NC 27703 2017-01-04
1780032821 Victory Speech Therapy Services, Pllc Speech-Language Pathologist 1533 Ellis Rd., Apt J208, Durham, NC 27703 2016-05-31
1124422373 Helene Azimbi Fonebi Pharmacist 8 Gandhi Dr, Durham, NC 27703 2014-10-17
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Taxonomy Information

Taxonomy Code 251E00000X
Grouping Agencies
Classification Home Health

Taxonomy Definition

A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1326654278 Step By Step In Home Care LLC Home Health Imperial Business Park, 4819 Emperor Blvd Suite 400, Durham, NC 27703 2020-09-16
1639796857 Howards Angels Care LLC Home Health 3645 Guess Rd, Durham, NC 27705-6908 2020-07-03
1013530393 A Divine Stick Home Health 407 E End Ave, Durham, NC 27703-4435 2020-05-21
1225663586 Inspired Home Healthcare Services LLC Home Health 708 Adeline Ct, Durham, NC 27713-5000 2020-03-06
1114561800 War Memorial Home Healthcare Agency LLC Home Health 12336 Tetons Ct, Durham, NC 27703-8903 2019-11-05
1568923142 Starnisha Burnette Home Health 800 N Mangum St Ste A-1, Durham, NC 27701-2260 2019-03-27
1043783087 Danielle Lavette Mcneil Home Health 3407 N Duke St, Durham, NC 27704-2107 2019-01-02
1245701168 Quality Life Home Health Care LLC Home Health 800 Elmira Ave, Durham, NC 27707-4825 2018-12-17
1255867099 Elite Wellness & Healthcare Home Health 3118 Forrestal Dr, Durham, NC 27703-4782 2017-05-11
1558818963 Agape Health LLC Home Health 2011 Chapel Hill Rd, Durham, NC 27707-1109 2016-09-01
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Competitor

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City DURHAM
Zip Code 27703

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Dataset Information

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.

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