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OUTREACH HOME #1
NPI 1063638328
Residential Treatment Facility, Physical Disabilities in Durham, NC

Active since April 17, 2007
2826 S ROXBORO ST, DURHAM, NC 27707(919) 401-8352 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Outreach Home #1 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OUTREACH HOME #1 (NPI 1063638328) is a healthcare organization registered as a residential treatment facility, physical disabilities in Durham, North Carolina and active in the NPI registry since April 2007. The organization lists Joy N. Okeke, Administrator, as its authorized official.

NPPES Registry Identity

NPI1063638328
Entity TypeOrganization
Primary Taxonomy320700000X
Legal Business NameOUTREACH HOME #1
Location Address2826 S ROXBORO STDurham, NC 27707-4039
Mailing Address305 Shalimar DrDurham, NC 27713-7571 · (919) 544-1033
Phone(919) 401-8352
Organization SubpartNo
Authorized OfficialJoy N. OkekeAdministrator · (919) 641-0162
Enumeration DateApril 17, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1063638328 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Physical DisabilitiesResidential Treatment Facilities
Taxonomy Code320700000X
License✔ Licensed in NC · MHL032299
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently.
2826 S ROXBORO ST, Durham, NC 27707
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Other Identifiers 1

Medicaid7804843NC

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Outreach Home #1's NPI number?

The NPI number for Outreach Home #1 is 1063638328. It was assigned to this organization in the NPPES registry on April 17, 2007.

Where is Outreach Home #1 located?

Outreach Home #1 is located at 2826 S Roxboro St, Durham, NC 27707. The listed phone number is (919) 401-8352.

What is Outreach Home #1's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Physical Disabilities with taxonomy code 320700000X.

When was this NPI record last updated?

The NPPES record for Outreach Home #1 was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.