Organization Active NPI

Hattie C Carrington

  • Mental Illness Intermediate Care Facility
  • Durham, NC
National Provider Identifier
1497880686
Registry record updated Jun 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Intermediate Care FacilityTaxonomy code 310500000X
License
MHL-032-305 Issued in NC
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

Updated by the provider on Jun 20, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
7804909MedicaidNC

Other names 1

  • Sadie's House Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Hattie C Carrington2 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.

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.

Verify at the official NPI Registry.