D.H.D. Group Home

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

License

MHLO32370 Issued in NC

Legal business name

D.H.D. GROUP HOME

Practice address

1229 Berkeley St
Durham, NC 27705-3530

Phone

(919) 286-1927

NPI assigned

May 3, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Derik Lee Abney

Title

Owner

Phone

(919) 608-5267

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407078165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1229 BERKELEY ST",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277053530",
            "telephone_number": "919-286-1927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1229 BERKELEY ST",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277053530",
            "telephone_number": "919-286-1927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D.H.D. GROUP HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ABNEY",
        "authorized_official_first_name": "DERIK",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-608-5267",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "NC",
            "license": "MHLO32370",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7805567",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cassidy Joy Cycenas, OTR/L
• Jamie Alexandra Cyr, MD
• Sabrina Lynn Cyril, PA
• Cyrus Homes
• Brian Czito, M.D.
• Mary D'Adamo
• Gianna Joy D'Afflisio, MD
• Talita D'Aguiar Rosa, MD
• Thomas D'Amico, M.D.
• Thomas Joseph D'Angelo

• Exclusive Provider Organization in Durham, NC
• Providers in Durham, NC by specialty
• Exclusive Provider Organization in North Carolina

• 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.

Verify at the official NPI Registry.