Blevins House

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

License

FCL032083 Issued in NC

Legal business name

BLEVINS HOUSE

Practice address

2325 Cook Rd
Durham, NC 27713-2734

Phone

(919) 806-2000

Fax

(919) 806-2000

NPI assigned

Sep 14, 2007

Organization subpart

Yes

Parent organization

AIDS COMMUNITY RESIDENCE ASSOCIATIONAs reported in NPPES

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

Authorized official

Name

Ms. Janice Sherroll Johnson

Title

Executive Director

Phone

(919) 956-7901

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Blevins House2 organizations share this tax ID, including this one

Part of

AIDS Community Residence Association

Other organizations with this tax ID 1

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

• Blevins Too Inc

  • Adult Care Home Facility
  • Durham, NC
  • NPI 1215194048
  NPD tax ID

Locations

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

{
    "created_epoch": "1189728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189728000000",
    "number": "1841486628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4404 GUESS RD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277122620",
            "telephone_number": "919-956-7901",
            "fax_number": "919-321-2193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2325 COOK RD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277132734",
            "telephone_number": "919-806-2000",
            "fax_number": "919-806-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLEVINS HOUSE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AIDS COMMUNITY RESIDENCE ASSOCIATION",
        "enumeration_date": "2007-09-14",
        "last_updated": "2007-09-14",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "JANICE",
        "authorized_official_middle_name": "SHERROLL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "919-956-7901",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NC",
            "license": "FCL032083",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7801883",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dan Blazer, MD
• Dan German Blazer III, M.D.
• Michael August Blazing, MD
• Kelly Hill Blessing, FNP C
• Robert Blessing, N.P.
• Blevins Too Inc
• Ayanna Noni Blevins, RN
• Gabrielle Gerard Blevins, NNP
• Katia Blevins
• Magdalene Peace Blevins, MD

• Adult Day Care Clinic/Center in Durham, NC
• Providers in Durham, NC by specialty
• Adult Day Care Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2007; 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.