Maplewood Drive FCH

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

FCL-032-018 Issued in NC

Legal business name

MAPLEWOOD DRIVE FCH

Practice address

1430 Maplewood Dr
Durham, NC 27704-3431

Phone

(919) 220-0114

NPI assigned

Nov 6, 2006

Organization subpart

No

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

Authorized official

Name

Sandra Holloway

Title

Business Office

Phone

(919) 220-0114

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669551990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 MAPLEWOOD DR",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277043431",
            "telephone_number": "919-220-0114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 MAPLEWOOD DR",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277043431",
            "telephone_number": "919-220-0114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAPLEWOOD DRIVE FCH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HOLLOWAY",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "BUSINESS OFFICE",
        "authorized_official_telephone_number": "919-220-0114"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NC",
            "license": "FCL-032-018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sneha Mantri, MD
• Matthew Scott Manzo, PT, DPT
• Edward Jiachen Mao, DMD
• David A Maple, CRNA
• Ingrid Katarina Maple, CRNA
• Lakesha Mapp-Thompson, LCSW
• Maps Therapeutics PLLC
• Gabriela Muriel Maradiaga Panayotti, M.D.
• Allysha Camille Maragh-Bass, PHD, MPH, NBC-HWC
• Anne Louise Marano, M.D.

• Adult Care Home Facility in Durham, NC
• Providers in Durham, NC by specialty
• Adult Care Home Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.