Outreach Home #1

LBN: Outreach Home #1
Outreach Home #1 is an health care organization with primary practice located at 2826 S Roxboro St , Durham NC 27707-4039. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Physical Disabilities, which is considered as the primary health care specialty. Outreach Home #1 can be contacted via phone (919) 401-8352, or through Okeke, Joy N. via phone (919) 641-0162.

Contact Information

Primary practice address
2826 S Roxboro St Durham NC 27707-4039
Phone: (919) 401-8352
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Okeke, Joy N. Registered Nurse (RN)
Phone: (919) 641-0162

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Physical Disabilities 320700000X MHL032299 North Carolina

Profile Details

NPI number 1063638328
LBN Legal business name Outreach Home #1
DBA Doing business as
Authorized official Okeke, Joy N. Registered Nurse (RN)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 17th, 2007
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063638328 NPPES
North Carolina MEDICAID 7804843

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