Nellie's Adult Care Home

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

License

FCL032116 Issued in NC

Legal business name

NELLIE'S ADULT CARE HOME

Practice address

1202 Arnette Ave
Durham, NC 27707-1306

Phone

(919) 688-9703

Fax

(919) 479-9055

NPI assigned

Mar 9, 2012

Last updated

Mar 9, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Donald Edward Brown Sr.

Title

Administor

Phone

(919) 949-6019

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1331251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331251200000",
    "number": "1174898175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 ARNETTE AVE",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277071306",
            "telephone_number": "919-688-9703",
            "fax_number": "919-479-9055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 ARNETTE AVE",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277071306",
            "telephone_number": "919-688-9703",
            "fax_number": "919-479-9055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NELLIE'S ADULT CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-09",
        "last_updated": "2012-03-09",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "ADMINISTOR",
        "authorized_official_telephone_number": "919-949-6019",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NC",
            "license": "FCL032116",
            "primary": true
        },
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "NC",
            "license": "FCL032116",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christian Manuel Negron Collado, PHARMD
• Donald Raymond Neiler, MA
• Alexandra Neinast, LCMHC-A, CRC
• Daniel Joseph Neitzke, MD, PHD
• Sirisha Nekkanti
• Nellie's Adult Care Home
• Joseph Russell Nellis
• Cynthia D. Nelms Covington, LPT
• Taylor Nelp, M.D.
• Derek Andrew Nelsen, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2012; 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.