NPIMap

Organization Active NPI

Devereux Residential Services LLC

  • Community/Behavioral Health Agency
  • Durham, NC
National Provider Identifier
1356474977
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
MHL032284 Issued in NC
Legal business name
DEVEREUX RESIDENTIAL SERVICES LLC
Practice address
1024 Glenrose Dr
Durham, NC 27703-2669
Phone
(919) 806-9528
Fax
(919) 321-1815
NPI assigned
Mar 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Mrs. Nadine Williams
Title
Program Manager
Phone
(919) 806-9528

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X MHL032284 NC
Community/Behavioral Health Agency 251S00000X MHL032284 NC Primary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X MHL032284 NC

Addresses

Primary practice location

1024 Glenrose Dr
Durham, NC 27703-2669

Mailing address

103 Settlers Mill LN
Durham, NC 27713-8541
Phone (919) 806-9528

National Provider Directory

National Provider Directory
Tax ID family
Devereux Residential Services LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1356474977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 SETTLERS MILL LN",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277138541",
            "telephone_number": "919-806-9528",
            "fax_number": "919-321-1815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1024 GLENROSE DR",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277032669",
            "telephone_number": "919-806-9528",
            "fax_number": "919-321-1815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVEREUX RESIDENTIAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "NADINE",
        "authorized_official_title_or_position": "PROGRAM MANAGER",
        "authorized_official_telephone_number": "919-806-9528",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NC",
            "license": "MHL032284",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "MHL032284",
            "primary": true
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NC",
            "license": "MHL032284",
            "primary": false
        }
    ],
    "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 Sep 11, 2025; 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.