Organization Active NPI

Mizasay Home Care

  • In Home Supportive Care Agency
  • Durham, NC
National Provider Identifier
1356960231
Registry record updated Jul 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
MIZASAY HOME CARE
Practice address
800 Elmira Ave
Durham, NC 27707-4825
Phone
(252) 226-2001
Fax
(866) 545-3560
NPI assigned
Apr 10, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2020

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

Authorized official

Name
Mr. Dwaylon Whitley
Title
Co Director
Phone
(919) 412-2816

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

800 Elmira Ave
Durham, NC 27707-4825

Mailing address

800 Elmira Ave
Durham, NC 27707-4825
Phone (252) 226-2001

National Provider Directory

National Provider Directory

Locations

800 Elmira Ave
Durham, NC 27707
Phone (919) 801-0315

NPI Registry JSON

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

{
    "created_epoch": "1586476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594080000000",
    "number": "1356960231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 ELMIRA AVE",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277074825",
            "telephone_number": "252-226-2001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 ELMIRA AVE",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277074825",
            "telephone_number": "252-226-2001",
            "fax_number": "866-545-3560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIZASAY HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-10",
        "last_updated": "2020-07-07",
        "certification_date": "2020-07-07",
        "status": "A",
        "authorized_official_last_name": "WHITLEY",
        "authorized_official_first_name": "DWAYLON",
        "authorized_official_title_or_position": "CO DIRECTOR",
        "authorized_official_telephone_number": "919-412-2816",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "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 Jul 7, 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.

Verify at the official NPI Registry.