INEZ'S HOUSE – NPI #1366587578
Clinic/Center

INEZ'S HOUSE is an AHC clinic located in DURHAM, NC. NPPES has assigned the NPI number 1366587578 to INEZ'S HOUSE on February 21, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “INEZ'S HOUSE” is a dba name, the actual legal business name for this organization is INEZS HOUSE HC LLC. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QA0600X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Adult Day Care

The NPI profile was last updated on Oct 11, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for INEZ'S HOUSE below.

NPI Profile for
INEZS HOUSE HC LLC

NPI Number
1366587578
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
INEZS HOUSE HC LLC
Doing Business As (dba): INEZ'S HOUSE
Primary location
2811 INDEPENDENCE AVE
DURHAM, NC 27703
Phone: (919) 697-7340 Fax: (919) 479-9055
Mailing address
209 GANYARD FARM WAY
DURHAM, NC 27703
Phone: (919) 697-7340 Fax: (919) 479-9055
Organization Subpart
No
Authorized Official
HATTIE DUNHAM
OWNER/ADMINISTRATOR
Phone: (919) 697-7340
Updated
Certification Date
Oct 11, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for INEZ'S HOUSE

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidNC7805440
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA0600X
- Clinic/Center / Adult Day Care (Primary)
311ZA0620X
- Custodial Care Facility / Adult Care Home
NC MHL-032-356

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.