Healthcare Provider Details

I. General information

NPI: 1386432201
Provider Name (Legal Business Name): HEALING HORIZON COMMUNITY CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/29/2025
Last Update Date: 02/25/2026
Certification Date: 02/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3511 SHANNON RD
DURHAM NC
27707-6330
US

IV. Provider business mailing address

3511 SHANNON RD
DURHAM NC
27707-6330
US

V. Phone/Fax

Practice location:
  • Phone: 919-226-0292
  • Fax: 919-226-1884
Mailing address:
  • Phone: 919-226-0292
  • Fax: 919-226-1884

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: LATASHIA OSHIA HASKINS
Title or Position: DIRECTOR
Credential:
Phone: 919-226-0292