Organization Active NPI

Spring Arbor of Durham LTD Patnership

  • Assisted Living Facility
  • Durham, NC
National Provider Identifier
1073558706
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
HAL-032-013 Issued in NC
Legal business name
SPRING ARBOR OF DURHAM LTD PATNERSHIP
Practice address
4523 Hope Valley Rd
Durham, NC 27707-5613
Phone
(919) 403-0055
Fax
(919) 403-5667
NPI assigned
Jun 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. John William Crittenden
Title
Executive Director
Phone
(919) 403-0055

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X HAL-032-013 NC Primary

Addresses

Primary practice location

4523 Hope Valley Rd
Durham, NC 27707-5613

Mailing address

4523 Hope Valley Rd
Durham, NC 27707-5613
Phone (919) 403-0055

Other identifiers 1

IdentifierTypeStateIssuer
7802738MedicaidNC

Other names 1

  • Spring Arbor of Durham Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073558706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4523 HOPE VALLEY RD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277075613",
            "telephone_number": "919-403-0055",
            "fax_number": "919-403-5667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4523 HOPE VALLEY RD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277075613",
            "telephone_number": "919-403-0055",
            "fax_number": "919-403-5667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRING ARBOR OF DURHAM LTD PATNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CRITTENDEN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "919-403-0055",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "HAL-032-013",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7802738",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spring Arbor of Durham",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 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.