Active NPI
Dowtin'S Therapeutic Home
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Raleigh, NC
National Provider Identifier
1659708790
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- License
- 092369
- Legal business name
- DOWTIN'S THERAPEUTIC HOME
- Practice address
- 3912 Willow Oak Rd
Raleigh, NC 27604-4725 - Phone
- (919) 349-5540
- NPI assigned
- Oct 3, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shabrittany Arvon Dowtin
- Title
- Manager
- Phone
- (919) 231-2981
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | 092369 | NC | Primary |
Addresses
Primary practice location
3912 Willow Oak Rd
Raleigh, NC 27604-4725
Mailing address
PO Box 26153
Raleigh, NC 27611-6153
Other names 1
- ED Emmanuel Homes LLC
National Provider Directory
National Provider Directory- Tax ID family
- Dowtin'S Therapeutic Home
Other organizations with this tax ID 5
Organizations that report the same tax identification number in the National Provider Directory.
-
- In Home Supportive Care Agency
- Raleigh, NC
- NPI 1225453665
-
- Mental Illness Community Based Residential Treatment Facility
- Knightdale, NC
- NPI 1700068392
-
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Raleigh, NC
- NPI 1114203759
-
- In Home Supportive Care Agency
- Raleigh, NC
- NPI 1477977189
-
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Raleigh, NC
- NPI 1639213846
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1380758400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1391731200000",
"number": "1659708790",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 26153",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276116153"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3912 WILLOW OAK RD",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276044725",
"telephone_number": "919-349-5540"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DOWTIN'S THERAPEUTIC HOME",
"organizational_subpart": "NO",
"enumeration_date": "2013-10-03",
"last_updated": "2014-02-07",
"status": "A",
"authorized_official_last_name": "DOWTIN",
"authorized_official_first_name": "SHABRITTANY",
"authorized_official_middle_name": "ARVON",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "919-231-2981"
},
"taxonomies": [
{
"code": "320600000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": "NC",
"license": "092369",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "ED Emmanuel Homes LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 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.