Organization Active NPI

Herbert Way of Living,LLC

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Durham, NC
National Provider Identifier
1063682573
Registry record updated Mar 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
License
MHL032426 Issued in NC
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

Updated by the provider on Mar 11, 2008

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)CodeLicenseStatePrimary
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 LLC3 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.

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.

Verify at the official NPI Registry.