Active NPI
Herbert Way of Living,LLC
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Durham, NC
National Provider Identifier
1063682573
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- License
- MHL032426
- Legal business name
- HERBERT WAY OF LIVING,LLC
- Practice address
- 3014 Forrester St
Durham, NC 27704-2310 - Phone
- (919) 220-5747
- NPI assigned
- Mar 11, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Beverly J Jenkins
- Title
- Director
- Phone
- (919) 620-1416
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | MHL032426 | NC | Primary |
Addresses
Primary practice location
3014 Forrester St
Durham, NC 27704-2310
Mailing address
3326 Guess Rd
Suite 203
Durham, NC 27705-2160
Phone (919) 620-1416
National Provider Directory
National Provider Directory- Tax ID family
- Herbert Way of Living LLC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Durham, NC
- NPI 1174740948
-
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Durham, NC
- NPI 1194051110
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205193600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1205193600000",
"number": "1063682573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3326 GUESS RD",
"address_2": "SUITE 203",
"city": "DURHAM",
"state": "NC",
"postal_code": "277052160",
"telephone_number": "919-620-1416",
"fax_number": "919-620-1456"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3014 FORRESTER ST",
"city": "DURHAM",
"state": "NC",
"postal_code": "277042310",
"telephone_number": "919-220-5747"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HERBERT WAY OF LIVING,LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-11",
"last_updated": "2008-03-11",
"status": "A",
"authorized_official_last_name": "JENKINS",
"authorized_official_first_name": "BEVERLY",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "919-620-1416",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "320600000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": "NC",
"license": "MHL032426",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.