NPIMap

Organization Active NPI

Jareh Healthcare, Inc.

  • Case Management Agency
  • Durham, NC
National Provider Identifier
1265712020
Registry record updated Aug 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
8702437 Issued in NC
Legal business name
JAREH HEALTHCARE, INC.
Practice address
2116 S Miami Blvd
Durham, NC 27703-5708
Phone
(919) 957-3354
Fax
(919) 957-3394
NPI assigned
Aug 25, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2011

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

Authorized official

Name
Mrs. Deloris J. Young, RN
Title
President
Phone
(919) 957-3354

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 8702437 NC Primary

Addresses

Primary practice location

2116 S Miami Blvd
Durham, NC 27703-5708

Mailing address

2116 S Miami Blvd
Durham, NC 27703-5708
Phone (919) 957-3354

Other identifiers 5

IdentifierTypeStateIssuer
6600798MedicaidNC
8700504MedicaidNC
8702437MedicaidNC
3409353MedicaidNC
7100447MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Jareh Healthcare Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Locations

2116 S Miami Blvd
Durham, NC 27703
Phone (919) 957-3354

NPI Registry JSON

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

{
    "created_epoch": "1314230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314230400000",
    "number": "1265712020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2116 S MIAMI BLVD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277035708",
            "telephone_number": "919-957-3354",
            "fax_number": "919-957-3394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2116 S MIAMI BLVD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277035708",
            "telephone_number": "919-957-3354",
            "fax_number": "919-957-3394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAREH HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-25",
        "last_updated": "2011-08-25",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "DELORIS",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-957-3354",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NC",
            "license": "8702437",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6600798",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8700504",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8702437",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3409353",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100447",
            "state": "NC"
        }
    ],
    "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 25, 2011; 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.