Thi of North Carolina at Durham, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

THI OF NORTH CAROLINA AT DURHAM, LLC

Doing business as

Erwin Garden Rehabilitation

Practice address

3100 Erwin Rd
Durham, NC 27705-4505

Phone

(919) 383-1546

Fax

(919) 382-0156

NPI assigned

Oct 7, 2006

Organization subpart

No

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

Authorized official

Name

Mike Kelly

Title

President

Phone

(919) 383-1546

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Erwin Garden Rehabilitation Doing business as

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

{
    "created_epoch": "1160179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193184000000",
    "number": "1144317322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 RIDGEBROOK RD",
            "city": "SPARKS",
            "state": "MD",
            "postal_code": "211529390",
            "telephone_number": "410-773-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 ERWIN RD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277054505",
            "telephone_number": "919-383-1546",
            "fax_number": "919-382-0156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THI OF NORTH CAROLINA AT DURHAM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-07",
        "last_updated": "2007-10-24",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-383-1546"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3465061",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Erwin Garden Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Aaron Daniel Therien, MD, MS
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• Lara Gainey Thibodeau, MD
• Kate Thieda, MS, LPC, NCC
• Tiffany A Thieken
• Wladimir Thielen, ADVANCED PRACTICE

• Skilled Nursing Facility in Durham, NC
• Providers in Durham, NC by specialty
• Skilled Nursing Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2007; 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.