Active NPI
Dominion Day Intensive in-Home Services, LLC
- Community/Behavioral Health Agency
- Durham, NC
National Provider Identifier
1073740965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 101YM0800X
- Legal business name
- DOMINION DAY INTENSIVE IN-HOME SERVICES, LLC
- Practice address
- 2530 Meridian Pkwy
Suite 3077
Durham, NC 27713-5272 - Phone
- (804) 519-4485
- NPI assigned
- Jun 17, 2009
- 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
- Mrs. Rasheede Tenaye Hicks
- Title
- President
- Phone
- (804) 519-4485
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 101YM0800X | VA | Primary |
Addresses
Primary practice location
2530 Meridian Pkwy
Suite 3077
Durham, NC 27713-5272
Mailing address
2530 Meridian Pkwy
Suite 3077
Durham, NC 27713-5272
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004944500 | Medicaid | VA |
Other names 1
- Dominion Day Services
National Provider Directory
National Provider DirectoryLocations
2530 Meridian Pkwy
Ste 3077
Durham, NC 27713
Phone (804) 519-4485
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245196800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1245196800000",
"number": "1073740965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2530 MERIDIAN PKWY",
"address_2": "SUITE 3077",
"city": "DURHAM",
"state": "NC",
"postal_code": "277135272"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2530 MERIDIAN PKWY",
"address_2": "SUITE 3077",
"city": "DURHAM",
"state": "NC",
"postal_code": "277135272",
"telephone_number": "804-519-4485"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DOMINION DAY INTENSIVE IN-HOME SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-06-17",
"last_updated": "2009-06-17",
"status": "A",
"authorized_official_last_name": "HICKS",
"authorized_official_first_name": "RASHEEDE",
"authorized_official_middle_name": "TENAYE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "804-519-4485",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "VA",
"license": "101YM0800X",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004944500",
"state": "VA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Dominion Day Services",
"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 Jun 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.