Outreach Home #1

Primary specialty

Physical Disabilities Residential Treatment FacilityTaxonomy code 320700000X

License

MHL032299 Issued in NC

Legal business name

OUTREACH HOME #1

Practice address

2826 S Roxboro St
Durham, NC 27707-4039

Phone

(919) 401-8352

NPI assigned

Apr 17, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Joy N. Okeke, RN

Title

Administrator

Phone

(919) 641-0162

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Outreach Home 13 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Outreach Home # 2

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Durham, NC
  • NPI 1750507026
  NPD tax ID
• Outreach Home # 4

  • Adult Mental Health Clinic/Center
  • Durham, NC
  • NPI 1194866608
  NPD tax ID

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063638328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 SHALIMAR DR",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277137571",
            "telephone_number": "919-544-1033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2826 S ROXBORO ST",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277074039",
            "telephone_number": "919-401-8352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUTREACH HOME #1",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OKEKE",
        "authorized_official_first_name": "JOY",
        "authorized_official_middle_name": "N.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "919-641-0162",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": "NC",
            "license": "MHL032299",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7804843",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lindsey Oury
• Rachel Carroll Outlaw, PHARMD
• Outreach Home # 2
• Outreach Home # 3.
• Outreach Home # 4
• Wen Chian Ouyang, RN, NP-C
• Forrest Dean Overaker
• Overandbeyondmeasurehealthcare
• Charles Overbeek, MD, FRCPC
• Angela Kent Overcash, PA

• Physical Disabilities Residential Treatment Facility in Durham, NC
• Providers in Durham, NC by specialty
• Physical Disabilities Residential Treatment Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.