Active NPI
Autumn'S Way Care Home
- Adult Care Home Facility
- Durham, NC
National Provider Identifier
1346645868
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Care Home Facility
- License
- FCL-032-136
- Legal business name
- AUTUMN'S WAY CARE HOME
- Practice address
- 4811 Bay Point Dr
Durham, NC 27713-9413 - Phone
- (919) 293-1177
- NPI assigned
- Oct 27, 2014
- 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
- Ms. Jennifer Blair Albright, MPH
- Title
- Administrator
- Phone
- (919) 402-0442
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Care Home Facility | 311ZA0620X | FCL-032-136 | NC | Primary |
Addresses
Primary practice location
4811 Bay Point Dr
Durham, NC 27713-9413
Mailing address
1601 James St
Durham, NC 27707-1515
Phone (919) 402-0442
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1414368000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1414368000000",
"number": "1346645868",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1601 JAMES ST",
"city": "DURHAM",
"state": "NC",
"postal_code": "277071515",
"telephone_number": "919-402-0442",
"fax_number": "919-323-3585"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4811 BAY POINT DR",
"city": "DURHAM",
"state": "NC",
"postal_code": "277139413",
"telephone_number": "919-293-1177"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AUTUMN'S WAY CARE HOME",
"organizational_subpart": "NO",
"enumeration_date": "2014-10-27",
"last_updated": "2014-10-27",
"status": "A",
"authorized_official_last_name": "ALBRIGHT",
"authorized_official_first_name": "JENNIFER",
"authorized_official_middle_name": "BLAIR",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "919-402-0442",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "MPH"
},
"taxonomies": [
{
"code": "311ZA0620X",
"taxonomy_group": "",
"desc": "Custodial Care Facility, Adult Care Home",
"state": "NC",
"license": "FCL-032-136",
"primary": true
}
],
"identifiers": [],
"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 Oct 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.