CHESTNUT MANOR NPI 1437279551

NPI Information

  • NPI: 1437279551
  • Provider Name: CHESTNUT MANOR
  • Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
  • Entity Type: Organization
  • Address: 2018 BIVINS ST
    DURHAM, NC
    ZIP 27707
  • Phone: (919) 401-5781

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NPI Details

CHESTNUT MANOR is a community based residential treatment facility mental illness in Durham, NC. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. CHESTNUT MANOR NPI is 1437279551. The provider is registered as an organization entity type.

The provider's business location address is:

2018 BIVINS ST
DURHAM, NC
ZIP 27707-404
Phone: (919) 401-5781

The provider's authorized official is Yolanda Denise Chestnut .
The authorized official title is Administraor and has the following contact phone number (919) 401-5781.

The enumeration date for this NPI number is 3/30/2007 and was last updated on 8/22/2020.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1320800000XCommunity Based Residential Treatment Facility, Mental Illness032339NORTH 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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
17805149MEDICAIDNORTH 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: 11/21/2025

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