Active NPI
Hattie C Carrington
- Mental Illness Intermediate Care Facility
- Durham, NC
National Provider Identifier
1497880686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Illness Intermediate Care Facility
- License
- MHL-032-305
- Legal business name
- HATTIE C CARRINGTON
- Practice address
- 2815 Independence Ave
Durham, NC 27703-2512 - Phone
- (919) 596-3651
- Fax
- (919) 596-3651
- NPI assigned
- Feb 21, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Hattie Carrington, BSN,RN
- Title
- Owner
- Phone
- (919) 697-7340
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Illness Intermediate Care Facility | 310500000X | MHL-032-305 | NC | Primary |
Addresses
Primary practice location
2815 Independence Ave
Durham, NC 27703-2512
Mailing address
2815 Independence Ave
Durham, NC 27703-2512
Phone (919) 596-3651
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7804909 | Medicaid | NC |
Other names 1
- Sadie's House
National Provider Directory
National Provider Directory- Tax ID family
- Hattie C Carrington
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Substance Abuse Rehabilitation Facility
- Durham, NC
- NPI 1851544522
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172016000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213920000000",
"number": "1497880686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2815 INDEPENDENCE AVE",
"city": "DURHAM",
"state": "NC",
"postal_code": "277032512",
"telephone_number": "919-596-3651",
"fax_number": "919-596-3651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2815 INDEPENDENCE AVE",
"city": "DURHAM",
"state": "NC",
"postal_code": "277032512",
"telephone_number": "919-596-3651",
"fax_number": "919-596-3651"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HATTIE C CARRINGTON",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-21",
"last_updated": "2008-06-20",
"status": "A",
"authorized_official_last_name": "CARRINGTON",
"authorized_official_first_name": "HATTIE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "919-697-7340",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "BSN,RN"
},
"taxonomies": [
{
"code": "310500000X",
"taxonomy_group": "",
"desc": "Intermediate Care Facility, Mental Illness",
"state": "NC",
"license": "MHL-032-305",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7804909",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Sadie's House",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Jun 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.