Provider Demographics
NPI:1023385853
Name:DURHAM SENIOR CARE, INC. DBA HOME INSTEAD SENIOR CARE
Entity type:Organization
Organization Name:DURHAM SENIOR CARE, INC. DBA HOME INSTEAD SENIOR CARE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:FRANCHISE OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:ROYCE
Authorized Official - Last Name:THOMMARSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-479-4600
Mailing Address - Street 1:2726 CROASDAILE DR.
Mailing Address - Street 2:SUITE 203
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27705-2590
Mailing Address - Country:US
Mailing Address - Phone:919-479-4600
Mailing Address - Fax:
Practice Address - Street 1:2600 CARVER ST
Practice Address - Street 2:SUITE B
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27705-2795
Practice Address - Country:US
Practice Address - Phone:919-479-4600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-22
Last Update Date:2013-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC3861253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care