Organization Active NPI

Striving for Excellence Group Home

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Durham, NC
National Provider Identifier
1235453366
Registry record updated Mar 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
License
MHL-032-497 Issued in NC
Legal business name
STRIVING FOR EXCELLENCE GROUP HOME
Practice address
3704 Four Seasons Dr
Durham, NC 27707-4724
Phone
(919) 294-8487
NPI assigned
Mar 18, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2010

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

Authorized official

Name
Nikki GladneyNPI 1982937447
Title
Owner
Phone
(919) 294-8487

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X MHL-032-497 NC Primary

Addresses

Primary practice location

3704 Four Seasons Dr
Durham, NC 27707-4724

Mailing address

3704 Four Seasons Dr
Durham, NC 27707-4724

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1268870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268870400000",
    "number": "1235453366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3704 FOUR SEASONS DR",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277074724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3704 FOUR SEASONS DR",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277074724",
            "telephone_number": "919-294-8487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STRIVING FOR EXCELLENCE GROUP HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-18",
        "last_updated": "2010-03-18",
        "status": "A",
        "authorized_official_last_name": "GLADNEY",
        "authorized_official_first_name": "NIKKI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-294-8487"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NC",
            "license": "MHL-032-497",
            "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 Mar 18, 2010; 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.