Organization Active NPI

Chestnut Manor-Forest Hill

  • Assisted Living Facility
  • Durham, NC
National Provider Identifier
1922327436
Registry record updated May 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
FCL-032-098 Issued in NC
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

Updated by the provider on May 24, 2010

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)CodeLicenseStatePrimary
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 Hill2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

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.

Verify at the official NPI Registry.