Provider Demographics
NPI:1851336754
Name:DURHAM LIMITED PARTNERSHIP III
Entity Type:Organization
Organization Name:DURHAM LIMITED PARTNERSHIP III
Other - Org Name:CARVER LIVING CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:GLENN
Authorized Official - Middle Name:
Authorized Official - Last Name:LEFKOVITZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-471-3558
Mailing Address - Street 1:303 E. CARVER STREET
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27704-2135
Mailing Address - Country:US
Mailing Address - Phone:919-471-3558
Mailing Address - Fax:919-477-5133
Practice Address - Street 1:303 E. CARVER STREET
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27704-2135
Practice Address - Country:US
Practice Address - Phone:919-471-3558
Practice Address - Fax:919-477-5133
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-17
Last Update Date:2011-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCNH0543314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC3405434Medicaid
NC3405434Medicaid
NC345434Medicare Oscar/Certification