Elsie-Doris Family Care Home

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

FCL032088 Issued in NC

Legal business name

ELSIE-DORIS FAMILY CARE HOME

Practice address

306 Cherry GRV
Durham, NC 27703-3006

Phone

(919) 949-1175

Fax

(919) 794-8106

NPI assigned

Feb 17, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Paquita Tamecia Jones

Title

Owner/Administrator

Phone

(919) 949-1175

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1203206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203206400000",
    "number": "1013185644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3375",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277023375",
            "telephone_number": "919-949-1175",
            "fax_number": "919-794-8106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 CHERRY GRV",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277033006",
            "telephone_number": "919-949-1175",
            "fax_number": "919-794-8106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELSIE-DORIS FAMILY CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-17",
        "last_updated": "2008-02-17",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "PAQUITA",
        "authorized_official_middle_name": "TAMECIA",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "919-949-1175",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NC",
            "license": "FCL032088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sevil Mariya Elmer, FNP
• Sydney Ayers Elmore, CRNA
• Zelda Elmore
• Abdelrhman Gamal Elnasseh
• Nina Elshiekh Crego, PH.D., LMBT
• Elsie-Doris Family Care Home II
• Madhulika Eluri, M.D.
• Elysian Therapeutics LLC
• Mogahid Mohamed Elzubir
• Embodi Health and Wellness

• Adult Care Home Facility in Durham, NC
• Providers in Durham, NC by specialty
• Adult Care Home Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.