Organization Active NPI

Trisouth - Durham

  • Home Health Agency
  • Durham, NC
National Provider Identifier
1780918136
Registry record updated Oct 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
TRISOUTH - DURHAM
Practice address
3600 N Duke St
Ste 103
Durham, NC 27704-1709
Phone
(919) 471-1800
Fax
(919) 471-1877
NPI assigned
Oct 1, 2009
Organization subpart
Yes
Parent organization
TRISOUTH HEALTH SERVICES, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 1, 2009

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

Authorized official

Name
Veronica Southerland, RN, BSW
Title
Administrator
Phone
(704) 525-2505

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

3600 N Duke St
Ste 103
Durham, NC 27704-1709

Mailing address

PO Box 242036
Charlotte, NC 28224-2036
Phone (704) 525-2505

National Provider Directory

National Provider Directory
Tax ID family
Trisouth Health Services Inc7 organizations share this tax ID, including this one
Part of
Trisouth Health Services Inc

Other organizations with this tax ID 6

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1254355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254355200000",
    "number": "1780918136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 242036",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282242036",
            "telephone_number": "704-525-2505",
            "fax_number": "704-525-2506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 N DUKE ST",
            "address_2": "STE 103",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277041709",
            "telephone_number": "919-471-1800",
            "fax_number": "919-471-1877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRISOUTH - DURHAM",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TRISOUTH HEALTH SERVICES, INC",
        "enumeration_date": "2009-10-01",
        "last_updated": "2009-10-01",
        "status": "A",
        "authorized_official_last_name": "SOUTHERLAND",
        "authorized_official_first_name": "VERONICA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "704-525-2505",
        "authorized_official_credential": "RN, BSW"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "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 Oct 1, 2009; 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.