Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Devereux Residential Services LLC

Organization Intellectual and/or Developmental Disabilities Residential Treatment Facility · NPI 1487786190

Devereux Residential Services LLC is an Intellectual and/or Developmental Disabilities Residential Treatment Facility in Durham, North Carolina. Licensed in North Carolina. Registered with an NPI since 2007.

Licensed in
NC
In the registry since
2007
Specialties on file
4
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

115 Market St Ste 204 G
Durham, NC 27701-3251
Phone: (919) 306-5751
Fax: (919) 321-1815
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Personal Care Attendant (primary) Taxonomy 3747P1801X · Licence MHL032284 (NC)
Intellectual and/or Developmental Disabilities Residential Treatment Facility Taxonomy 320600000X · Licence MHL032284 (NC)
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Taxonomy 320900000X · Licence MHL032284 (NC)
Respite Care Taxonomy 385H00000X · Licence MHL032284 (NC)

Record details

NPI number1487786190
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nadine Williams — Billing Consultant · (919) 306-5751
NPI enumeratedMarch 9, 2007
Last updated in NPPESSeptember 5, 2014
Mailing address115 Market St, Ste 204 G, Durham, NC 27701-3251

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