Daniel'S Den, LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

MHL-092-851 Issued in NC

Legal business name

DANIEL'S DEN, LLC

Practice address

1919 Boaz Rd
Raleigh, NC 27610-4005

Phone

(919) 836-0158

Fax

(919) 836-0158

NPI assigned

Oct 2, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Bruce Daniel

Title

Administrator

Phone

(919) 523-4942

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1349136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349136000000",
    "number": "1295087161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 BOAZ RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276104005",
            "telephone_number": "919-836-0158",
            "fax_number": "919-836-0158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 BOAZ RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276104005",
            "telephone_number": "919-836-0158",
            "fax_number": "919-836-0158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL'S DEN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-02",
        "last_updated": "2012-10-02",
        "status": "A",
        "authorized_official_last_name": "DANIEL",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "919-523-4942",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NC",
            "license": "MHL-092-851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Kivett Daniel, LCSW
• Katherine Baldwin Daniel, RPH
• Nicholas A Daniel, PTA
• Stephen Matthew Daniel, PHARMD
• Walter Eugene Daniel III, MD
• Danielle Hood
• Daniels and Peck Family Medicine, PA
• Candice Daniels
• Caroline Daniels
• Dawn Daniels

• Adult Care Home Facility in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Adult Care Home Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.