NPIMap

Organization Active NPI

Jareh Healthcare, Inc

  • Developmentally Disabled Services Day Training Agency
  • Durham, NC
National Provider Identifier
1619025673
Registry record updated Feb 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
HC2085 Issued in NC
Legal business name
JAREH HEALTHCARE, INC
Practice address
2116 S Miami Blvd
Durham, NC 27703-5708
Phone
(919) 957-3354
Fax
(919) 957-3394
NPI assigned
Jan 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2017

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

Authorized official

Name
Mrs. Deloris J. Young
Title
Agency Director
Phone
(919) 957-3354

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X HC2085 NC Primary

Addresses

Primary practice location

2116 S Miami Blvd
Durham, NC 27703-5708

Mailing address

2116 S Miami Blvd
Durham, NC 27703-5708
Phone (919) 957-3354

Other identifiers 1

IdentifierTypeStateIssuer
1619025673MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Jareh Healthcare Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486080000000",
    "number": "1619025673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2116 S MIAMI BLVD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277035708",
            "telephone_number": "919-957-3354",
            "fax_number": "919-957-3394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2116 S MIAMI BLVD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277035708",
            "telephone_number": "919-957-3354",
            "fax_number": "919-957-3394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAREH HEALTHCARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2017-02-03",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "DELORIS",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "AGENCY DIRECTOR",
        "authorized_official_telephone_number": "919-957-3354",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NC",
            "license": "HC2085",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1619025673",
            "state": "NC"
        }
    ],
    "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 3, 2017; 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.