MR. JAMAAL LEE LEATHERS
NPI 1720416043
Custodial Care Facility - Adult Care Home in Durham, NC

Active since October 23, 2013
1011 PARK AVE, DURHAM, NC 27701(919) 381-6583 Get Directions Write a Review

NPPES record last updated: April 2, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Jamaal Lee Leathers NPPES

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

MR. JAMAAL LEE LEATHERS (NPI 1720416043) is an individual adult care home provider in Durham, North Carolina, licensed in North Carolina (FCL-032-132) and active in the NPI registry since October 2013.

NPPES Registry Identity

NPI1720416043
Entity TypeIndividualMale
Primary Taxonomy311ZA0620X
Provider Legal NameMR. JAMAAL LEE LEATHERS
Location Address1011 PARK AVEDurham, NC 27701-3548
Mailing Address1011 Park AveDurham, NC 27701-3548 · (919) 381-6583
Sole ProprietorYes
Enumeration DateOctober 23, 2013
Last NPPES UpdateApril 2, 2014
NPI 1720416043 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities
Taxonomy Code311ZA0620X
License Licensed in NC · FCL-032-132
Definition

A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.

Also ListedResidential Treatment Facility, Physical DisabilitiesTaxonomy 320700000X · License FCL-032-132 (NC)
Also ListedNursing Home AdministratorTaxonomy 376G00000X · License FCL-032-132 (NC)
1011 PARK AVE, Durham, NC 27701

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Custodial Care Facility (Adult Care Home)
1011 PARK AVE
DURHAM, NC 27701
Custodial Care Facility (Adult Care Home)
1011 PARK AVE
DURHAM, NC 27701

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 Jamaal Leathers's NPI number?

The NPI number for Jamaal Leathers is 1720416043. It was assigned to this individual provider in the NPPES registry on October 23, 2013.

Where is Jamaal Leathers located?

Jamaal Leathers practices at 1011 Park Ave, Durham, NC 27701. The listed phone number is (919) 381-6583.

What is Jamaal Leathers's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

When was this NPI record last updated?

The NPPES record for Jamaal Leathers was last updated on April 2, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.