Organization Active NPI

Begin Again Family Care Home Two

  • Adult Care Home Facility
  • Durham, NC
National Provider Identifier
1730215369
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
FC L-032-003 Issued in NC
Legal business name
BEGIN AGAIN FAMILY CARE HOME TWO
Practice address
407 N Hyde Park Ave
Durham, NC 27703-3015
Phone
(919) 682-6079
Fax
(919) 682-6079
NPI assigned
Feb 26, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Jennifer D Pickett
Title
Secretary
Phone
(919) 682-6079

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X FC L-032-003 NC Primary

Addresses

Primary practice location

407 N Hyde Park Ave
Durham, NC 27703-3015

Mailing address

407 N Hyde Park Ave
Durham, NC 27703-3015
Phone (919) 682-6079

Other identifiers 1

IdentifierTypeStateIssuer
7803643MedicaidNC

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1730215369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 N HYDE PARK AVE",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277033015",
            "telephone_number": "919-682-6079",
            "fax_number": "919-682-6079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 N HYDE PARK AVE",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277033015",
            "telephone_number": "919-682-6079",
            "fax_number": "919-682-6079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEGIN AGAIN FAMILY CARE HOME TWO",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PICKETT",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "919-682-6079",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NC",
            "license": "FC L-032-003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7803643",
            "state": "NC"
        }
    ],
    "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 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.