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JOYLAND HOMES INC NPI 1619015112


NPI Information

NPI: 1619015112
Provider Name: JOYLAND HOMES, INC
Classification: Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320600000X
Entity Type: Organization
Address:
15 HOWLETT PL
DURHAM, NC
ZIP 27703
Phone: (919) 381-9761
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JOYLAND HOMES, INC is a residential treatment facility, intellectual and/or developmental disabilities in Durham, NC. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. JOYLAND HOMES, INC NPI is 1619015112. The provider is registered as an organization entity type.

The provider's business location address is:

15 HOWLETT PL
DURHAM, NC
ZIP 27703-365
Phone: (919) 381-9761
Fax: (919) 598-1989

The provider's authorized official is Frederick Leon Dunston .
The authorized official title is Co-owner and has the following contact phone number (919) 602-3455.

The enumeration date for this NPI number is 2/5/2007 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1320600000XResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesMHL-032-343NORTH 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
16603923MEDICAIDNORTH CAROLINA
2MHL-032-343OTHERNORTH CAROLINAMENTAL HEALTH LICENSE #

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

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