Mrs. Jennie'S Place Community Enrichment Center

Primary specialty

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

License

MHL-032-425 Issued in NC

Legal business name

MRS. JENNIE'S PLACE COMMUNITY ENRICHMENT CENTER

Practice address

804 Cox Ave
Durham, NC 27701-4519

Phone

(919) 765-5748

NPI assigned

Feb 25, 2008

Organization subpart

No

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

Authorized official

Name

Ms. Valeria H Sumpter

Title

Ceo/President

Phone

(919) 765-5748

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1203897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203897600000",
    "number": "1265601223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 RAVENSTONE LN",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277039621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 COX AVE",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277014519",
            "telephone_number": "919-765-5748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MRS. JENNIE'S PLACE COMMUNITY ENRICHMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-25",
        "last_updated": "2008-02-25",
        "status": "A",
        "authorized_official_last_name": "SUMPTER",
        "authorized_official_first_name": "VALERIA",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "919-765-5748",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NC",
            "license": "MHL-032-425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Casey Marie Mozingo, NP-C
• MP Krasnov PA
• Mqa Support Services LLC
• Amelia Dianne Mrache
• Mrs Jennie'S Place Adult Activity Center Corp
• MSC Nutrition
• MSD Nutrition Consulting
• MTS Speech & Language Services, Inc
• Lisa C Muasher, MD
• Nicholas Mueller, DMD

• 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 Feb 25, 2008; 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.