Active NPI
Boys to Gentlemen
- Community/Behavioral Health Agency
- Durham, NC
National Provider Identifier
1356553630
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- BOYS TO GENTLEMEN
- Practice address
- 202 Clayton Rd
Durham, NC 27703-3508 - Phone
- (919) 598-5355
- NPI assigned
- May 7, 2007
- 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. Lorrain W Meadows
- Title
- Owner
- Phone
- (919) 598-5355
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
202 Clayton Rd
Durham, NC 27703-3508
Mailing address
202 Clayton Rd
Durham, NC 27703-3508
Phone (919) 598-5355
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8301594 | Medicaid | NC |
National Provider Directory
National Provider Directory- Tax ID family
- Boys to Gentlemen
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- Greenville, NC
- NPI 1447381181
-
- Community/Behavioral Health Agency
- Durham, NC
- NPI 1578785853
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178496000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1356553630",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "202 CLAYTON RD",
"city": "DURHAM",
"state": "NC",
"postal_code": "277033508",
"telephone_number": "919-598-5355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "202 CLAYTON RD",
"city": "DURHAM",
"state": "NC",
"postal_code": "277033508",
"telephone_number": "919-598-5355"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BOYS TO GENTLEMEN",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-07",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MEADOWS",
"authorized_official_first_name": "LORRAIN",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "919-598-5355",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8301594",
"state": "NC"
}
],
"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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.