Organization Active NPI

Sybil M Castle

Doing business as Adventure House

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Durham, NC
National Provider Identifier
1902928419
Registry record updated Jun 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
License
032347 Issued in NC
Legal business name
SYBIL M CASTLE
Doing business as
Adventure House
Practice address
4 Kimbrough CT
Durham, NC 27703-2919
Phone
(919) 957-9097
Fax
(919) 598-0940
NPI assigned
Apr 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2008

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

Authorized official

Name
Ms. Sybil M Castle
Title
Administratorowner
Phone
(919) 596-0403

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X 032347 NC Primary

Addresses

Primary practice location

4 Kimbrough CT
Durham, NC 27703-2919

Mailing address

1003 Glenrose Dr
Durham, NC 27703-2646
Phone (919) 596-0403

Other identifiers 1

IdentifierTypeStateIssuer
7805777MedicaidNC

Other names 1

  • ADVENTURE HOUSE Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213920000000",
    "number": "1902928419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1003 GLENROSE DR",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277032646",
            "telephone_number": "919-596-0403",
            "fax_number": "919-598-0940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 KIMBROUGH CT",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277032919",
            "telephone_number": "919-957-9097",
            "fax_number": "919-598-0940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYBIL M CASTLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2008-06-20",
        "status": "A",
        "authorized_official_last_name": "CASTLE",
        "authorized_official_first_name": "SYBIL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATOROWNER",
        "authorized_official_telephone_number": "919-596-0403",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NC",
            "license": "032347",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7805777",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ADVENTURE HOUSE",
            "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 Jun 20, 2008; 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.