Durham Ridge Assisted Living

Primary specialty

Alzheimer Center (Dementia Center)Taxonomy code 311500000X

Legal business name

DURHAM RIDGE ASSISTED LIVING

Practice address

3420 Wake Forest Hwy
Durham, NC 27703-0429

Phone

(919) 596-9464

Fax

(919) 957-8915

NPI assigned

Jan 30, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Daniel Kevin Lussien

Title

Business Office Manager

Phone

(919) 596-9464

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217203200000",
    "number": "1578600680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11429",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277030429",
            "telephone_number": "919-596-9464",
            "fax_number": "919-957-8915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3420 WAKE FOREST HWY",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277030429",
            "telephone_number": "919-596-9464",
            "fax_number": "919-957-8915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DURHAM RIDGE ASSISTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2008-07-28",
        "status": "A",
        "authorized_official_last_name": "LUSSIEN",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "KEVIN",
        "authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
        "authorized_official_telephone_number": "919-596-9464",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "HAL032080",
            "primary": false
        },
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7805530",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Durham Public Schools
• Durham Radiology Associates, Inc.
• Durham Regional Spine Center
• Durham Rehab Operations LLC
• Durham Rest Home Inc
• Durham Senior Care, Inc. Dba Home Instead Senior Care
• Durham Speech Pathology
• Durham Sunset Speech, PLLC
• Durham Talk Therapy PLLC
• Durham VA Medical Center

• Alzheimer Center (Dementia Center) in Durham, NC
• Providers in Durham, NC by specialty
• Alzheimer Center (Dementia Center) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 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.