Susan Durham

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

SUSAN DURHAM

Doing business as

Golden Years Family Care Home

Practice address

410 Montford Dr
Roxboro, NC 27573-4624

Phone

(336) 597-4270

Fax

(336) 597-4270

NPI assigned

Feb 20, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Susan Durham, LPN

Title

Owner

Phone

(919) 730-7405

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• GOLDEN YEARS FAMILY CARE HOME Doing business as

Tax ID family

Golden Years Family Care Home2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• The Durham Family Group Home 'Lodge Street House'

  • Assisted Living Facility (Mental Illness)
  • Durham, NC
  • NPI 1245374545
  NPD tax ID

Locations

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736467200000",
    "number": "1437293594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 MONTFORD DR",
            "city": "ROXBORO",
            "state": "NC",
            "postal_code": "275734624",
            "telephone_number": "336-597-4270",
            "fax_number": "336-597-4270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 MONTFORD DR",
            "city": "ROXBORO",
            "state": "NC",
            "postal_code": "275734624",
            "telephone_number": "336-597-4270",
            "fax_number": "336-597-4270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN DURHAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2025-01-10",
        "certification_date": "2025-01-10",
        "status": "A",
        "authorized_official_last_name": "DURHAM",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-730-7405",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "FCL073011",
            "primary": false
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7809008",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GOLDEN YEARS FAMILY CARE HOME",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Benedict John Stover, P.T.A.
• Kenneth Francis Strachan Jr., M.D.
• Scott A Strine, MD
• Sullivan Chiropractic Clinic
• Gary J Sullivan, D.C.
• Linda M Sutton, MD
• Brian James Swift, DDS
• Teresa Johnson (Johnson's Counseling)
• Kelcie Renae Thames, DNP-C
• The Bridges Project, LLC

• Adult Care Home Facility in Roxboro, NC
• Providers in Roxboro, NC by specialty
• Adult Care Home Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 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.