Active NPI
R & R's Angel's, LLC
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Raleigh, NC
National Provider Identifier
1336411628
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Legal business name
- R & R'S ANGEL'S, LLC
- Practice address
- 4501 Duraleigh Rd
Raleigh, NC 27612-3533 - Phone
- (919) 896-7469
- NPI assigned
- Feb 1, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Teneisha Nicole Hardison, MA
- Title
- Orga Nizer/Member (Owner)
- Phone
- (919) 896-7469
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | Primary |
Addresses
Primary practice location
4501 Duraleigh Rd
Raleigh, NC 27612-3533
Mailing address
4832 Silverdene St
Raleigh, NC 27616-5112
Phone (919) 896-7469
National Provider Directory
National Provider DirectoryLocations
4501 Duraleigh Rd
Raleigh, NC 27612
Phone (919) 881-4382
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1328054400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1328054400000",
"number": "1336411628",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4832 SILVERDENE ST",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276165112",
"telephone_number": "919-896-7469"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4501 DURALEIGH RD",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276123533",
"telephone_number": "919-896-7469"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "R & R'S ANGEL'S, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-02-01",
"last_updated": "2012-02-01",
"status": "A",
"authorized_official_last_name": "HARDISON",
"authorized_official_first_name": "TENEISHA",
"authorized_official_middle_name": "NICOLE",
"authorized_official_title_or_position": "ORGA NIZER/MEMBER (OWNER)",
"authorized_official_telephone_number": "919-896-7469",
"authorized_official_credential": "MA"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 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.