Fayetteville Street Community Living Home
NPI 1295998029 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · Durham, NC
Fayetteville Street Community Living Home is a Intellectual and/or Developmental Disabilities Residential Treatment Facility organization in Durham, NC (NPI 1295998029).
Provider details
- NPI number
- 1295998029
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Robin Williams, Administor(919) 519-0016
- License
- MHL032445 (NC)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityPrimary320600000XLicense MHL032445 (NC)
Residential Treatment Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2008-07-02
- Last updated
- 2013-12-12
Frequently asked questions
- What is Fayetteville Street Community Living Home's NPI number?
- Fayetteville Street Community Living Home's National Provider Identifier (NPI) is 1295998029, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Fayetteville Street Community Living Home?
- Fayetteville Street Community Living Home is classified in the NPPES registry as Intellectual and/or Developmental Disabilities Residential Treatment Facility (Residential Treatment Facilities).
- Where is Fayetteville Street Community Living Home located?
- Fayetteville Street Community Living Home's practice location on file with NPPES is 111 N Maple St, Durham, NC 27703-3021.
- What is Fayetteville Street Community Living Home's phone number?
- The practice phone number listed in the NPPES registry for Fayetteville Street Community Living Home is (919) 519-0016.
- Who is the authorized official for Fayetteville Street Community Living Home?
- The authorized official listed on Fayetteville Street Community Living Home's NPPES record is Robin Williams, Administor. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Fayetteville Street Community Living Home's NPI active?
- Yes — Fayetteville Street Community Living Home's NPI (1295998029) is active in the NPPES registry as of the last update on 2013-12-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.