South Point Manor

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

License

HAL032072 Issued in NC

Legal business name

SOUTH POINT MANOR

Doing business as

South Point Manor Inc

Practice address

3218 Hwy 55
Durham, NC 27713

Phone

(919) 361-0721

Fax

(919) 544-1162

NPI assigned

Feb 6, 2007

Organization subpart

No

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

Authorized official

Name

Senora Woodard

Title

President

Phone

(919) 639-6893

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• SOUTH POINT MANOR INC Doing business as

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199232000000",
    "number": "1083753073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2316 ANGIER RD",
            "address_2": "3218 HWY 55",
            "city": "FUQUAY VARINA",
            "state": "NC",
            "postal_code": "27526",
            "telephone_number": "919-639-6893",
            "fax_number": "919-639-2913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3218 HWY 55",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "27713",
            "telephone_number": "919-361-0721",
            "fax_number": "919-544-1162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH POINT MANOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2008-01-02",
        "status": "A",
        "authorized_official_last_name": "WOODARD",
        "authorized_official_first_name": "SENORA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-639-6893"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NC",
            "license": "HAL032072",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7804941",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SOUTH POINT MANOR INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alexandria Soto
• Carlos A Sotolongo, M.D.
• Gina Lauren Sotolongo, MD
• David Soule, PHARMD
• Sophia Stephanie Sourlis, MD
• South Shore Mental Health
• South Square Chiropractic
• Samantha Paige Southard, OD
• Anita Lanier Southerland, RN
• Cindy Cheng-Ja Southerland, RN, ANP, GNP

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Durham, NC
• Providers in Durham, NC by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 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.