Organization Active NPI

Community Resource Connections of North Carolina, LLC

  • Developmentally Disabled Services Day Training Agency
  • Durham, NC
National Provider Identifier
1669618765
Registry record updated Dec 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
COMMUNITY RESOURCE CONNECTIONS OF NORTH CAROLINA, LLC
Practice address
12404 Kendall Ridge CT
Durham, NC 27703-8542
Phone
(919) 225-5505
NPI assigned
Dec 21, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2008

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

Authorized official

Name
Mr. Malcolm Oran Craven
Title
Ceo
Phone
(919) 225-5505

Specialties & licenses 1

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

Addresses

Primary practice location

12404 Kendall Ridge CT
Durham, NC 27703-8542

Mailing address

12404 Kendall Ridge CT
Durham, NC 27703-8542
Phone (919) 225-5505

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1229817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229817600000",
    "number": "1669618765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12404 KENDALL RIDGE CT",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277038542",
            "telephone_number": "919-225-5505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12404 KENDALL RIDGE CT",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277038542",
            "telephone_number": "919-225-5505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY RESOURCE CONNECTIONS OF NORTH CAROLINA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-21",
        "last_updated": "2008-12-21",
        "status": "A",
        "authorized_official_last_name": "CRAVEN",
        "authorized_official_first_name": "MALCOLM",
        "authorized_official_middle_name": "ORAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "919-225-5505",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Dec 21, 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.