SOUTH POINT MANOR INC – NPI #1083753073
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

SOUTH POINT MANOR INC is a community based residential treatment facility located in DURHAM, NC. NPPES has assigned the NPI number 1083753073 to SOUTH POINT MANOR INC on February 06, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “SOUTH POINT MANOR INC” is a dba name, the actual legal business name for this organization is SOUTH POINT MANOR. The primary taxonomy selected by this provider is 320900000X from the Health Care Provider Taxonomy code set, which is classified as Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities.

The NPI profile was previously updated about 18 years ago on Jan 02, 2008. 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 SOUTH POINT MANOR INC below.

NPI Profile for
SOUTH POINT MANOR

NPI Number
1083753073
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
SOUTH POINT MANOR
Doing Business As (dba): SOUTH POINT MANOR INC
Primary location
3218 HWY 55
DURHAM, NC 27713
Phone: (919) 361-0721 Fax: (919) 544-1162
Mailing address
2316 ANGIER RD
3218 HWY 55
FUQUAY VARINA, NC 27526
Phone: (919) 639-6893 Fax: (919) 639-2913
Organization Subpart
No
Authorized Official
SENORA WOODARD
PRESIDENT
Phone: (919) 639-6893
Updated
Identifiers

Identifiers for SOUTH POINT MANOR INC

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
MEDICAIDNC7804941
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
320900000X
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Primary)
NC HAL032072

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.