Organization Active NPI

Treyburn Healthcare, Inc

  • Skilled Nursing Facility
  • Durham, NC
National Provider Identifier
1841390010
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
NH0562 Issued in NC
Legal business name
TREYBURN HEALTHCARE, INC
Practice address
2059 Torredge Rd
Durham, NC 27712-1767
Phone
(919) 477-4474
Fax
(919) 471-0298
NPI assigned
Sep 25, 2006
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
Mrs. Rhonda R Nivens
Title
Secretary
Phone
(704) 869-9195

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NH0562 NC Primary

Addresses

Primary practice location

2059 Torredge Rd
Durham, NC 27712-1767

Mailing address

2059 Torredge Rd
Durham, NC 27712-1767
Phone (919) 477-4474

Other identifiers 2

IdentifierTypeStateIssuer
3435458MedicaidNC
343607YMedicaidNC

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1841390010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2059 TORREDGE RD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277121767",
            "telephone_number": "919-477-4474",
            "fax_number": "919-471-0298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2059 TORREDGE RD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277121767",
            "telephone_number": "919-477-4474",
            "fax_number": "919-471-0298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TREYBURN HEALTHCARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NIVENS",
        "authorized_official_first_name": "RHONDA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "704-869-9195",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NC",
            "license": "NH0562",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3435458",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "343607Y",
            "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.