Imagine House

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

IMAGINE HOUSE

Practice address

413 N Maple St
Durham, NC 27703-3027

Phone

(919) 225-1411

NPI assigned

Aug 17, 2009

Last updated

Aug 17, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Tammy Wright, B.S.C.J.A

Title

Owner

Phone

(919) 225-1411

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1250467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250467200000",
    "number": "1326270844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2520 TORQUAY XING",
            "address_2": "APT. G",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276163076",
            "telephone_number": "919-225-1411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 N MAPLE ST",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277033027",
            "telephone_number": "919-225-1411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMAGINE HOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-17",
        "last_updated": "2009-08-17",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-225-1411",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "B.S.C.J.A"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adult Care Home Facility in Durham, NC
• Providers in Durham, 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 Aug 17, 2009; 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.