Active NPI
Sybil M Castle
Doing business as Adventure House
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Durham, NC
National Provider Identifier
1902928419
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- License
- 032347
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7805777 | Medicaid | NC |
Other names 1
- ADVENTURE HOUSE
National Provider Directory
National Provider DirectoryNPI 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.