Organization Active NPI

Miss Ruby'S Place

  • Adult Care Home Facility
  • Durham, NC
National Provider Identifier
1417226903
Registry record updated Dec 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
FCL-032-112 Issued in NC
Legal business name
MISS RUBY'S PLACE
Practice address
213 Knox Cir
Durham, NC 27701-1341
Phone
(919) 937-9892
NPI assigned
Dec 29, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2011

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

Authorized official

Name
Wakisha Arnee High
Title
Administrator
Phone
(919) 937-9892

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X FCL-032-112 NC Primary

Addresses

Primary practice location

213 Knox Cir
Durham, NC 27701-1341

Mailing address

213 Knox Cir
Durham, NC 27701-1341
Phone (919) 937-9892

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1325116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325116800000",
    "number": "1417226903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 KNOX CIR",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277011341",
            "telephone_number": "919-937-9892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 KNOX CIR",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277011341",
            "telephone_number": "919-937-9892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISS RUBY'S PLACE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-29",
        "last_updated": "2011-12-29",
        "status": "A",
        "authorized_official_last_name": "HIGH",
        "authorized_official_first_name": "WAKISHA",
        "authorized_official_middle_name": "ARNEE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "919-937-9892"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NC",
            "license": "FCL-032-112",
            "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 Dec 29, 2011; 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.