Outreach Home # 2

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

License

MHL-032-346 Issued in NC

Legal business name

OUTREACH HOME # 2

Practice address

2002 Otis St
Durham, NC 27707-3110

Phone

(919) 530-1440

NPI assigned

Apr 17, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Joy N. Okeke, RN

Title

Administrator

Phone

(919) 641-0162

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Outreach Home 13 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.

• Outreach Home # 4

  • Adult Mental Health Clinic/Center
  • Durham, NC
  • NPI 1194866608
  NPD tax ID
• Outreach Home #1

  • Physical Disabilities Residential Treatment Facility
  • Durham, NC
  • NPI 1063638328
  NPD tax ID

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750507026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 SHALIMAR DR",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277137571",
            "telephone_number": "919-544-1033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2002 OTIS ST",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277073110",
            "telephone_number": "919-530-1440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUTREACH HOME # 2",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OKEKE",
        "authorized_official_first_name": "JOY",
        "authorized_official_middle_name": "N.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "919-641-0162",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NC",
            "license": "MHL-032-346",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7805419",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anne Oumarou, FNP-BC
• Our Daily Living
• Our Daily Living
• Lindsey Oury
• Rachel Carroll Outlaw, PHARMD
• Outreach Home # 3.
• Outreach Home # 4
• Outreach Home #1
• Wen Chian Ouyang, RN, NP-C
• Forrest Dean Overaker

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Durham, NC
• Providers in Durham, NC by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment 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.