Active NPI
Chestnut Manor-Forest Hill
- Assisted Living Facility
- Durham, NC
National Provider Identifier
1922327436
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- FCL-032-098
- Legal business name
- CHESTNUT MANOR-FOREST HILL
- Practice address
- 1202 Arnette Ave
Durham, NC 27707-1306 - Phone
- (919) 688-9703
- NPI assigned
- May 24, 2010
- 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
- Mrs. Yolanda Denise Chestnut-Jackson
- Title
- Administrator
- Phone
- (919) 638-6174
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | FCL-032-098 | NC | Primary |
Addresses
Primary practice location
1202 Arnette Ave
Durham, NC 27707-1306
Mailing address
1202 Arnette Ave
Durham, NC 27707-1306
Phone (919) 688-9703
National Provider Directory
National Provider Directory- Tax ID family
- Chestnut Manor-Forest Hill
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Assisted Living Facility
- Durham, NC
- NPI 1699914283
Locations
1202 Arnette Ave
Durham, NC 27707
Phone (919) 682-4625
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274659200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1274659200000",
"number": "1922327436",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1202 ARNETTE AVE",
"city": "DURHAM",
"state": "NC",
"postal_code": "277071306",
"telephone_number": "919-688-9703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1202 ARNETTE AVE",
"city": "DURHAM",
"state": "NC",
"postal_code": "277071306",
"telephone_number": "919-688-9703"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHESTNUT MANOR-FOREST HILL",
"organizational_subpart": "NO",
"enumeration_date": "2010-05-24",
"last_updated": "2010-05-24",
"status": "A",
"authorized_official_last_name": "CHESTNUT-JACKSON",
"authorized_official_first_name": "YOLANDA",
"authorized_official_middle_name": "DENISE",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "919-638-6174",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "NC",
"license": "FCL-032-098",
"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 May 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.