NPIMap

Organization Active NPI

Jamaal Leathers

  • Adult Care Home Facility
  • Durham, NC
National Provider Identifier
1649699588
Registry record updated Apr 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
FCL-032-132 Issued in NC
Legal business name
JAMAAL LEATHERS
Practice address
1011 Park Ave
Durham, NC 27701-3548
Phone
(919) 381-6583
NPI assigned
Apr 8, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2014

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

Authorized official

Name
Mr. Jamaal Lee LeathersNPI 1720416043
Title
Administrator
Phone
(919) 423-9236

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X FCL-032-132 NC Primary
Physical Disabilities Residential Treatment Facility 320700000X FCL-032-132 NC

Addresses

Primary practice location

1011 Park Ave
Durham, NC 27701-3548

Mailing address

1011 Park Ave
Durham, NC 27701-3548
Phone (919) 381-6583

Other names 1

  • Maggie's Helping Hands Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Jamaal Leathers2 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.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1396915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396915200000",
    "number": "1649699588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 PARK AVE",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277013548",
            "telephone_number": "919-381-6583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 PARK AVE",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277013548",
            "telephone_number": "919-381-6583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMAAL LEATHERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-08",
        "last_updated": "2014-04-08",
        "status": "A",
        "authorized_official_last_name": "LEATHERS",
        "authorized_official_first_name": "JAMAAL",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "919-423-9236",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NC",
            "license": "FCL-032-132",
            "primary": true
        },
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": "NC",
            "license": "FCL-032-132",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maggie's Helping Hands",
            "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 Apr 8, 2014; 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.