Infants, Children, Adults, Adolescents/Juveniles, LLC

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

INFANTS, CHILDREN, ADULTS, ADOLESCENTS/JUVENILES, LLC

Practice address

2707 N Roxboro St
Durham, NC 27704-4351

Phone

(919) 201-0052

NPI assigned

Oct 27, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Alicia Michelle Elder, BBA, QP

Title

Owner/Ceo

Phone

(919) 201-0052

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1193443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205280000000",
    "number": "1013196948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15928",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277040928",
            "fax_number": "919-283-0005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2707 N ROXBORO ST",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277044351",
            "telephone_number": "919-201-0052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFANTS, CHILDREN, ADULTS, ADOLESCENTS/JUVENILES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-27",
        "last_updated": "2008-03-12",
        "status": "A",
        "authorized_official_last_name": "ELDER",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "919-201-0052",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "BBA, QP"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2008; 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.