Healthcare Provider Details

I. General information

NPI: 1528275054
Provider Name (Legal Business Name): ENHANCEMENT HEALTH CARE, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/16/2007
Last Update Date: 01/27/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

917 LANCASTER ST
DURHAM NC
27701-1551
US

IV. Provider business mailing address

2402 SOUTH MIAMI BLVD SUITE 105
DURHAM NC
27703-4928
US

V. Phone/Fax

Practice location:
  • Phone: 919-493-2100
  • Fax:
Mailing address:
  • Phone: 919-479-6600
  • Fax: 919-479-1010

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code310500000X
TaxonomyMental Illness Intermediate Care Facility
License NumberMHL-032-310
License Number StateNC
# 3
Primary TaxonomyY
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number032-568
License Number StateNC
# 4
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: MR. ROBERT JONES
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 919-491-3934