MICHAEL'S PLACE INC. NPI 1518153683

NPI Information

NPI: 1518153683
Provider Name: MICHAEL'S PLACE INC.
Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
Address: 2815 CASCADILLA ST
DURHAM, NC
ZIP 27704
Phone: (919) 957-7985

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NPI Details

MICHAEL'S PLACE INC. is a community based residential treatment facility, intellectual and/or developmental disabilities in Durham, NC. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. MICHAEL'S PLACE INC. NPI is 1518153683. The provider is registered as an organization entity type.

The provider's business location address is:

2815 CASCADILLA ST
DURHAM, NC
ZIP 27704-411
Phone: (919) 957-7985
Fax: (919) 957-7985

The provider's authorized official is Alveth Joyce Young .
The authorized official title is Co-owner and has the following contact phone number (919) 957-7985.

The enumeration date for this NPI number is 9/21/2007 and was last updated on 10/27/2007.

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	License Number	License State	Primary
1	315P00000X	Intermediate Care Facility, Intellectual Disabilities			No
2	320800000X	Community Based Residential Treatment Facility, Mental Illness	MHL-032-415	NORTH CAROLINA	No
3	347C00000X	Private Vehicle	MHL-032-415	NORTH CAROLINA	No
4	320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	MHL-032-415	NORTH CAROLINA	Yes

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
1	6006190	MEDICAID	NORTH 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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