PHP OF NC INC NPI 1679682421

NPI Information

  • NPI: 1679682421
  • Provider Name: PHP OF NC, INC
  • Classification: Day Training, Developmentally Disabled Services - 251C00000X
  • Entity Type: Organization
  • Address: 4125 BEN FRANKLIN BLVD
    SUITE 180
    DURHAM, NC
    ZIP 27704
  • Phone: (919) 220-0021

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NPI Details

PHP OF NC, INC is a day training developmentally disabled services in Durham, NC. The provider is these agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. PHP OF NC, INC NPI is 1679682421. The provider is registered as an organization entity type.

The provider's business location address is:

4125 BEN FRANKLIN BLVD
SUITE 180
DURHAM, NC
ZIP 27704-167
Phone: (919) 220-0021
Fax: (919) 220-4555

The provider's authorized official is Justine Wiggins .
The authorized official title is Executive Director and has the following contact phone number (919) 220-0021.

The enumeration date for this NPI number is 8/29/2006 and was last updated on 5/10/2017.

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
1320600000XResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesMHL-032-149NORTH CAROLINANo
2320600000XResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesMHL-032-245NORTH CAROLINANo
3320600000XResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesMHL-032-133NORTH CAROLINANo
4320600000XResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesMHL-032-349NORTH CAROLINANo
5251E00000XHome HealthHC1631NORTH CAROLINANo
6251C00000XDay Training, Developmentally Disabled ServicesMHL-032-255NORTH CAROLINAYes
7251S00000XCommunity/Behavioral HealthMHL-0320255NORTH CAROLINANo
8253Z00000XIn Home Supportive CareMHL-032-255NORTH CAROLINANo

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
16600586MEDICAIDNORTH CAROLINA
23408783MEDICAIDNORTH 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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