Organization Active NPI

Straight Talk Support Group Transitional House Resource Center

  • Case Manager/Care Coordinator
  • Durham, NC
National Provider Identifier
1124887344
Registry record updated Mar 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Legal business name
STRAIGHT TALK SUPPORT GROUP TRANSITIONAL HOUSE RESOURCE CENTER
Practice address
1101 N Mangum St
Durham, NC 27701-1931
Phone
(984) 219-1001
Fax
(984) 219-1637
NPI assigned
Mar 18, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2024

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

Authorized official

Name
Bessie L Elmore
Title
Executive Director
Phone
(984) 219-1001

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193200000X MULTI-SPECIALTY GROUP 171M00000X Primary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X

Addresses

Primary practice location

1101 N Mangum St
Durham, NC 27701-1931

Mailing address

1101 N Mangum St
Durham, NC 27701-1931
Phone (984) 219-1001

National Provider Directory

National Provider Directory

Locations

1101 N Mangum St
Durham, NC 27701
Phone (919) 590-5508

NPI Registry JSON

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

{
    "created_epoch": "1710720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710720000000",
    "number": "1124887344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 N MANGUM ST",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277011931",
            "telephone_number": "984-219-1001",
            "fax_number": "984-219-1637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 N MANGUM ST",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277011931",
            "telephone_number": "984-219-1001",
            "fax_number": "984-219-1637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STRAIGHT TALK SUPPORT GROUP TRANSITIONAL HOUSE RESOURCE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-18",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A",
        "authorized_official_last_name": "ELMORE",
        "authorized_official_first_name": "BESSIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "984-219-1001"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Mar 18, 2024; 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.