Active NPI
Voans Senior Community Care of North Carolina, Inc.
Doing business as PACE North Carolina
- PACE Provider Organization
- Durham, NC
National Provider Identifier
1063767853
On this page
Key facts
NPPES NPI Registry- Primary specialty
- PACE Provider Organization
- Legal business name
- VOANS SENIOR COMMUNITY CARE OF NORTH CAROLINA, INC.
- Doing business as
- PACE North Carolina
- Practice address
- 4022 Stirrup Creek Dr Ste 315
Durham, NC 27703-8999 - Phone
- (919) 797-0902
- Fax
- (919) 770-7233
- NPI assigned
- Jul 17, 2012
- Last updated
- Jul 17, 2012
- 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
- Nancy Gavin
- Title
- Assistant Secretary/Assistant Treas
- Phone
- (952) 983-4249
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| PACE Provider Organization | 251T00000X | NU | Primary |
Addresses
Primary practice location
4022 Stirrup Creek Dr Ste 315
Durham, NC 27703-8999
Mailing address
7530 Market Place Dr
Eden Prairie, MN 55344-3636
Phone (952) 941-0305
Other names 1
- PACE North Carolina
National Provider Directory
National Provider DirectoryLocations
4022 Stirrup Creek Dr
Ste 315
Durham, NC 27703
Phone (919) 425-3000
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Registered Dietitian
- Cary, NC
- NPI 1497423420
-
- Adult Health Nurse Practitioner
- Raleigh, NC
- NPI 1922504448
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1342483200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1342483200000",
"number": "1063767853",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7530 MARKET PLACE DR",
"city": "EDEN PRAIRIE",
"state": "MN",
"postal_code": "553443636",
"telephone_number": "952-941-0305",
"fax_number": "952-941-0428"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4022 STIRRUP CREEK DR STE 315",
"city": "DURHAM",
"state": "NC",
"postal_code": "277038999",
"telephone_number": "919-797-0902",
"fax_number": "919-770-7233"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VOANS SENIOR COMMUNITY CARE OF NORTH CAROLINA, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2012-07-17",
"last_updated": "2012-07-17",
"status": "A",
"authorized_official_last_name": "GAVIN",
"authorized_official_first_name": "NANCY",
"authorized_official_title_or_position": "ASSISTANT SECRETARY/ASSISTANT TREAS",
"authorized_official_telephone_number": "952-983-4249"
},
"taxonomies": [
{
"code": "251T00000X",
"taxonomy_group": "",
"desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "PACE North Carolina",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Durham, NC
- Vitalguard Homecare LLC
- Vitality Healthcare PLLC
- Nanditha Janaki Vivekananthan, DDS
- Vivian Buhrman LCSW PLLC
- Gordana Vlahovic, M.D.
- Voca Corporation of North Carolina
- Voca Corporation of North Carolina, Inc.
- Voca Corporation of North Carolina, Inc.
- Voca Corporation of North Carolina, Inc.
- Colleen Leah Vogele, PA-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.