Organization Active NPI

Phases of Life

  • Case Management Agency
  • Durham, NC
National Provider Identifier
1417154972
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
PHASES OF LIFE
Practice address
123 Slateworth Dr
Durham, NC 27703-6183
Phone
(919) 638-5141
NPI assigned
Jun 28, 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
Latasha B Burwell
Title
Ceo
Phone
(919) 691-0800

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary
Developmentally Disabled Services Day Training Agency 251C00000X

Addresses

Primary practice location

123 Slateworth Dr
Durham, NC 27703-6183

Mailing address

123 Slateworth Dr
Durham, NC 27703-6183
Phone (919) 638-5141

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1182988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1417154972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 SLATEWORTH DR",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277036183",
            "telephone_number": "919-638-5141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 SLATEWORTH DR",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277036183",
            "telephone_number": "919-638-5141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHASES OF LIFE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-28",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "BURWELL",
        "authorized_official_first_name": "LATASHA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "919-691-0800"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "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.