NPIMap

Organization Active NPI

Devereux Residential Services

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Durham, NC
National Provider Identifier
1730590035
Registry record updated May 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
DEVEREUX RESIDENTIAL SERVICES
Practice address
103 Settlers Mill LN
Durham, NC 27713-8541
Phone
(919) 680-2749
NPI assigned
May 8, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2014

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

Authorized official

Name
Jennifer Williams
Title
Administrator
Phone
(919) 680-2749

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Primary

Addresses

Primary practice location

103 Settlers Mill LN
Durham, NC 27713-8541

Mailing address

201 W Main St
Ste 202a
Durham, NC 27701-3228

National Provider Directory

National Provider Directory
Tax ID family
Devereux Residential Services LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

201 W Main St
Ste 202A
Durham, NC 27701

NPI Registry JSON

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

{
    "created_epoch": "1399507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399507200000",
    "number": "1730590035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 W MAIN ST",
            "address_2": "STE 202A",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277013228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 SETTLERS MILL LN",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277138541",
            "telephone_number": "919-680-2749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVEREUX RESIDENTIAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-08",
        "last_updated": "2014-05-08",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "919-680-2749"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "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 May 8, 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.