NPIMap

Organization Active NPI

Donald Brown Sr.

  • Adult Care Home Facility
  • Durham, NC
National Provider Identifier
1437372737
Registry record updated Feb 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
DONALD BROWN SR.
Practice address
2015 Ellis Rd
Durham, NC 27703-6127
Phone
(919) 596-7414
Fax
(919) 667-1276
NPI assigned
Apr 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2024

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

Authorized official

Name
Roshaun Anjali Williams
Title
Manager
Phone
(919) 949-7497

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility (Mental Illness) 3104A0625X MHL032404 NC
Adult Care Home Facility 311ZA0620X Primary

Addresses

Primary practice location

2015 Ellis Rd
Durham, NC 27703-6127

Mailing address

2015 Ellis Rd
Durham, NC 27703-6127
Phone (919) 596-7414

National Provider Directory

National Provider Directory
Tax ID family
Donald Brown Sr3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707264000000",
    "number": "1437372737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2015 ELLIS RD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277036127",
            "telephone_number": "919-596-7414",
            "fax_number": "919-667-1276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015 ELLIS RD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277036127",
            "telephone_number": "919-596-7414",
            "fax_number": "919-667-1276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONALD BROWN SR.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "ROSHAUN",
        "authorized_official_middle_name": "ANJALI",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "919-949-7497"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "NC",
            "license": "MHL032404",
            "primary": false
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "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 Feb 7, 2024; 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.