NPIMap

Organization Active NPI

The United Methodist Retirement Homes, Incorporated

Doing business as Croasdaile Village Home Care

  • Home Health Agency
  • Durham, NC
National Provider Identifier
1902001209
Registry record updated Sep 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HC1307 Issued in NC
Legal business name
THE UNITED METHODIST RETIREMENT HOMES, INCORPORATED
Doing business as
Croasdaile Village Home Care
Practice address
2600 Croasdaile Farm Pkwy Ste A500
Durham, NC 27705-1331
Phone
(919) 384-2441
Fax
(919) 384-2449
NPI assigned
Jun 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2018

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

Authorized official

Name
Mr. Jonathan P Erickson
Title
Assistant Secretary
Phone
(919) 384-3001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HC1307 NC Primary

Addresses

Primary practice location

2600 Croasdaile Farm Pkwy Ste A500
Durham, NC 27705-1331

Mailing address

2600 Croasdaile Farm Pkwy Ste A500
Durham, NC 27705-1331
Phone (919) 384-2441

Other names 1

  • CROASDAILE VILLAGE HOME CARE Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Wesley Pines Meth Ret H5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1182124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537142400000",
    "number": "1902001209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 CROASDAILE FARM PKWY STE A500",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277051331",
            "telephone_number": "919-384-2441",
            "fax_number": "919-384-2449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 CROASDAILE FARM PKWY STE A500",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277051331",
            "telephone_number": "919-384-2441",
            "fax_number": "919-384-2449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE UNITED METHODIST RETIREMENT HOMES, INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-18",
        "last_updated": "2018-09-17",
        "status": "A",
        "authorized_official_last_name": "ERICKSON",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "ASSISTANT SECRETARY",
        "authorized_official_telephone_number": "919-384-3001",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC1307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CROASDAILE VILLAGE HOME CARE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CROASDAILE VILLAGE HOME CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 17, 2018; 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.