Jamaal Lee Leathers

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

FCL-032-132 Issued in NC

Practice address

1011 Park Ave
Durham, NC 27701-3548

Phone

(919) 381-6583

NPI assigned

Oct 23, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Jamaal Leathers

  • Adult Care Home Facility
  • Durham, NC
  • NPI 1649699588
  NPD (past) Authorized official
• Maggie'S Helping Hands

  • Adult Care Home Facility
  • Durham, NC
  • NPI 1689078883
  NPD (past) Authorized official

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

{
    "created_epoch": "1382486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396396800000",
    "number": "1720416043",
    "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": {
        "last_name": "LEATHERS",
        "first_name": "JAMAAL",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-10-23",
        "last_updated": "2014-04-02",
        "status": "A"
    },
    "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
        },
        {
            "code": "376G00000X",
            "taxonomy_group": "",
            "desc": "Nursing Home Administrator",
            "state": "NC",
            "license": "FCL-032-132",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexis Levy Leal
• Lizbeth Ambookken Leapo, MD
• Janet Leary Carnell
• Kathryn Ann Leary, OTR/L
• Claudia Jakiel Leasure, PT
• Lori K. Leathers, PLCSW
• Loviette Leathers
• Lois Hayes Leazer, M.ED.,CCC-SLP
• Megan Elizabeth Leblanc
• Monique Leblanc, CRNA

• 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 Apr 2, 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.