NPIMap

Organization Active NPI

Outreach Home # 4

  • Adult Mental Health Clinic/Center
  • Durham, NC
National Provider Identifier
1194866608
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
MHL-032-394 Issued in NC
Legal business name
OUTREACH HOME # 4
Practice address
3007 Dearborn Dr
Durham, NC 27704-2303
Phone
(919) 220-0607
Fax
(919) 477-4700
NPI assigned
Feb 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Joy N. Okeke, RN
Title
Administrator
Phone
(919) 201-8914

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X MHL-032-394 NC Primary

Addresses

Primary practice location

3007 Dearborn Dr
Durham, NC 27704-2303

Mailing address

305 Shalimar Dr
Durham, NC 27713-7571
Phone (919) 641-0162

National Provider Directory

National Provider Directory
Tax ID family
Outreach Home 13 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194866608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 SHALIMAR DR",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277137571",
            "telephone_number": "919-641-0162",
            "fax_number": "919-477-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3007 DEARBORN DR",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277042303",
            "telephone_number": "919-220-0607",
            "fax_number": "919-477-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUTREACH HOME # 4",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OKEKE",
        "authorized_official_first_name": "JOY",
        "authorized_official_middle_name": "N.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "919-201-8914",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NC",
            "license": "MHL-032-394",
            "primary": true
        }
    ],
    "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 Aug 22, 2020; 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.