Winburn House

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

WINBURN HOUSE

Practice address

1500 E Club Blvd
Durham, NC 27704-3404

Phone

(919) 220-0021

Fax

(919) 220-4555

NPI assigned

Aug 6, 2013

Organization subpart

Yes

Parent organization

PHP OF NC, INCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Justine Wiggins

Title

Ceo

Phone

(919) 220-0021

Specialties & licenses 1

Addresses

Tax ID family

Athens Place6 organizations share this tax ID, including this one

Part of

Athens Place

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

• Athens Place

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Durham, NC
  • NPI 1184016636
  NPD tax ID
• Nixon House

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Durham, NC
  • NPI 1891127437
  NPD tax ID
• PHP of NC, Inc

  • Developmentally Disabled Services Day Training Agency
  • Durham, NC
  • NPI 1679682421
  NPD tax ID
• PHP of NC,Inc

  • Developmentally Disabled Services Day Training Agency
  • Zebulon, NC
  • NPI 1932531720
  NPD tax ID
• Sherman House

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Durham, NC
  • NPI 1649602079
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• PHP of NC, Inc

  • Developmentally Disabled Services Day Training Agency
  • Durham, NC
  • NPI 1679682421
  NPPES parent name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1375747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444953600000",
    "number": "1003248568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2415 WINBURN AVE",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277045145",
            "telephone_number": "919-220-0021",
            "fax_number": "919-220-4555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 E CLUB BLVD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277043404",
            "telephone_number": "919-220-0021",
            "fax_number": "919-220-4555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINBURN HOUSE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PHP OF NC, INC",
        "enumeration_date": "2013-08-06",
        "last_updated": "2015-10-16",
        "status": "A",
        "authorized_official_last_name": "WIGGINS",
        "authorized_official_first_name": "JUSTINE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "919-220-0021",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Mosher Wilson, PHD
• Vanisha Rochelle Wilson, M.D.
• Kristie Wimbush, LCSWA
• Winans Chiropractic, PLLC
• Christopher Allen Winans, DC
• Nicole Yvette Winbush, MD
• Windowpane Therapy PLLC
• Windstone Therapy and Wellness, PLLC
• Ann Louise Wing, P-LCSW
• Joseph Giles Winger, PHD

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Durham, NC
• Providers in Durham, NC by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.