Durham Healthcare LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

NH0136 Issued in NC

Legal business name

DURHAM HEALTHCARE LLC

Doing business as

Grace Healthcare of Durham

Practice address

411 S Lasalle St
Durham, NC 27705-3701

Phone

(919) 383-5521

Fax

(919) 383-8580

NPI assigned

Nov 8, 2007

Last updated

Apr 17, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Alice Marie Clark Danks, CPA

Title

VP of Finance

Phone

(423) 308-1845

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• GRACE HEALTHCARE OF DURHAM Doing business as

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

{
    "created_epoch": "1194480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208390400000",
    "number": "1619157534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 S LASALLE ST",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277053701",
            "telephone_number": "919-383-5521",
            "fax_number": "919-383-8580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 S LASALLE ST",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277053701",
            "telephone_number": "919-383-5521",
            "fax_number": "919-383-8580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DURHAM HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-08",
        "last_updated": "2008-04-17",
        "status": "A",
        "authorized_official_last_name": "CLARK DANKS",
        "authorized_official_first_name": "ALICE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "VP OF FINANCE",
        "authorized_official_telephone_number": "423-308-1845",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NC",
            "license": "NH0136",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3426037",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3425070",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GRACE HEALTHCARE OF DURHAM",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Durham Diagnostic Imaging LLC (Independence Park)
• Durham Emergency Physicians, PA
• Durham Exchange Club Industries
• Durham Family Chiropractic P.C.
• Durham Gastroenterology Consultants PA
• Durham Internal Medicine Associates, P.a.
• Durham Lifestyle Management LLC
• Durham Limited Partnership III (Carver Living Center)
• Durham Manor LLC (Forest View Rehabilitation Center)
• Durham Manor, LLC (Forest View Rehabilitation Center)

• Skilled Nursing Facility in Durham, NC
• Providers in Durham, NC by specialty
• Skilled Nursing Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.