Organization Active NPI

Prestige Estates Home

  • Assisted Living Facility
  • Durham, NC
National Provider Identifier
1871164970
Registry record updated Jul 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
PRESTIGE ESTATES HOME
Practice address
4120 Holt School Rd
Durham, NC 27704-1439
Phone
(984) 569-9088
Fax
(984) 569-9088
NPI assigned
Jul 8, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2021

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

Authorized official

Name
Donnessa Lameka Darden, ADMIN.
Title
Admin/Owner
Phone
(919) 519-1614

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

4120 Holt School Rd
Durham, NC 27704-1439

Mailing address

4120 Holt School Rd
Durham, NC 27704-1439
Phone (984) 569-9088

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1625702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625702400000",
    "number": "1871164970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4120 HOLT SCHOOL RD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277041439",
            "telephone_number": "984-569-9088",
            "fax_number": "984-569-9088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4120 HOLT SCHOOL RD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277041439",
            "telephone_number": "984-569-9088",
            "fax_number": "984-569-9088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTIGE ESTATES HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-08",
        "last_updated": "2021-07-08",
        "certification_date": "2021-07-08",
        "status": "A",
        "authorized_official_last_name": "DARDEN",
        "authorized_official_first_name": "DONNESSA",
        "authorized_official_middle_name": "LAMEKA",
        "authorized_official_title_or_position": "ADMIN/OWNER",
        "authorized_official_telephone_number": "919-519-1614",
        "authorized_official_credential": "ADMIN."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "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 Jul 8, 2021; 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.