Provider Type Icon

DURHAM RIDGE ASSISTED LIVING NPI 1578600680


NPI Information

NPI: 1578600680
Provider Name: DURHAM RIDGE ASSISTED LIVING
Classification: Alzheimer Center (Dementia Center) - 311500000X
Entity Type: Organization
Address:
3420 WAKE FOREST HWY
DURHAM, NC
ZIP 27703
Phone: (919) 596-9464
Get Directions

DURHAM RIDGE ASSISTED LIVING is an alzheimer center dementia center in Durham, NC. The provider is a freestanding facility or special care unit of a long term care facility focusing on patient care of individuals diagnosed with dementia or Alzheimer's Disease or their related diseases. Six elements of the facility/unit set it apart from other (the rest of the) facilities(y): Admission of residents with dementia (including those with Alzheimer's disease); Staff who are specially selected, trained, and supervised; Activities that are specifically designed for the cognitively impaired; A marketing of a special care unit in brochures; A high level of family involvement; and A physical environment designed to keep residents safe and segregated from other populations. DURHAM RIDGE ASSISTED LIVING NPI is 1578600680. The provider is registered as an organization entity type.

The provider's business location address is:

3420 WAKE FOREST HWY
DURHAM, NC
ZIP 27703-429
Phone: (919) 596-9464
Fax: (919) 957-8915

The provider's authorized official is Daniel Kevin Lussien .
The authorized official title is Business Office Manager and has the following contact phone number (919) 596-9464.

The enumeration date for this NPI number is 1/30/2007 and was last updated on 7/28/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1310400000XAssisted Living FacilityHAL032080NORTH CAROLINANo
2311500000XAlzheimer Center (Dementia Center)NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
17805530MEDICAIDNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.