Organization 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
Registry record updated Jul 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PACE Provider OrganizationTaxonomy code 251T00000X
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, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2012

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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

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.

Verify at the official NPI Registry.