Chestnut Manor

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

License

032339 Issued in NC

Legal business name

CHESTNUT MANOR

Practice address

2018 Bivins St
Durham, NC 27707-1404

Phone

(919) 401-5781

NPI assigned

Mar 30, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Yolanda Denise Chestnut

Title

Administraor

Phone

(919) 401-5781

Specialties & licenses 1

Addresses

Other identifiers 1

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Chestnut Manor Mangum Street

  • Assisted Living Facility
  • Durham, NC
  • NPI 1699914283
  NPPES parent name

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1437279551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2018 BIVINS ST",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277071404",
            "telephone_number": "919-401-5781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2018 BIVINS ST",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277071404",
            "telephone_number": "919-401-5781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHESTNUT MANOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHESTNUT",
        "authorized_official_first_name": "YOLANDA",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "ADMINISTRAOR",
        "authorized_official_telephone_number": "919-401-5781",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NC",
            "license": "032339",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7805149",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Godefroy Sullyvan Chery, M.D
• Cheryl L Bennett PHD PLLC
• Everlyne Cheptoo Chesaina
• Sprague Cheshire, P.A.
• Daphne Lynn Chesson
• Chestnut Manor Mangum Street
• Chestnut Manor-Forest Hill
• Bria Ashlynn Chestnut
• Vanessa Novella Chetty, M.D., M.S.P.H
• Kevin Cheung, FNP

• Mental Illness Community Based Residential Treatment Facility in Durham, NC
• Providers in Durham, NC by specialty
• Mental Illness Community Based Residential Treatment Facility 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.