CARILLON ASSISTED LIVING OF DURHAM (NPI# 1922360684) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1922360684 |
Entity Type | Organization |
Organization Name | CARILLON ASSISTED LIVING OF DURHAM |
Practice Address |
4713 Garrett Rd Durham NC 27707-3439 |
Mailing Address |
4901 Waters Edge Dr Ste 200 Raleigh NC 27606-2464 |
Practice Telephone | 9194011101 |
Enumeration Date | 2012-06-08 |
Last Update Date | 2012-06-08 |
Authorized Official Name | MR. JAMES KROPP JR. (CHIEF FINANCIAL OFFICER) |
Authorized Official Telephone | 9198524000 |
Is Organization Subpart | Y |
Parent Organization Name | CARILLON ASSISTED LIVING, LLC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
Street Address |
4713 GARRETT RD |
City | DURHAM |
State | NC |
Zip Code | 27707-3439 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063050524 | Ga Hc Reit II Durham Alf Trs Sub, LLC | Custodial Care Facility | 4713 Garrett Rd, Durham, NC 27707-3439 | 2019-12-16 |
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 | 310400000X |
Grouping | Nursing & Custodial Care Facilities |
Classification | Assisted Living Facility |
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366958233 | August Estates LLC | Assisted Living Facility | 2713 Green Lane Dr, Durham, NC 27712-2432 | 2017-12-14 |
1588948707 | Emeritus Corporation | Assisted Living Facility | 25 Worthen Rd, Durham, NH 03824-4612 | 2011-10-06 |
1669754693 | Ruffin Home 2 | Assisted Living Facility | 830 N. Mangum St., Durham, NC 27701 | 2011-09-15 |
1265720825 | Snh Se Tenant Trs, Inc | Assisted Living Facility | 1002 E Nc Highway 54, Durham, NC 27713-2145 | 2011-07-18 |
1922322056 | Ramsgate Family Care Home, LLC | Assisted Living Facility | 3676 Guess Rd, Durham, NC 27705-2112 | 2010-03-18 |
1801124979 | Alta Walk Assisted Living | Assisted Living Facility | 5705 Fayetteville Rd, Durham, NC 27713-5318 | 2009-11-30 |
1184856064 | A New Way Home | Assisted Living Facility | 510 Maymount Dr, Durham, NC 27703-3657 | 2009-08-11 |
1518112036 | Pruitthealth - Carolina Point, LLC | Assisted Living Facility | 5935 Mount Sinai Road, Durham, NC 27705-8616 | 2008-11-25 |
1881847366 | Avail Family Care Homes LLC | Assisted Living Facility | 1008 N Guthrie Ave, Durham, NC 27703-1620 | 2008-10-29 |
1366695819 | Avail Family Care Homes LLC | Assisted Living Facility | 1012 N Guthrie Ave, Durham, NC 27703-1620 | 2008-10-28 |
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.