Active NPI
Straight Talk Support Group Transitional House Resource Center
- Case Manager/Care Coordinator
- Durham, NC
National Provider Identifier
1124887344
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 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 DirectoryLocations
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.