Atterbury Family Care Home

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

FCL032022 Issued in NC

Legal business name

ATTERBURY FAMILY CARE HOME

Practice address

1802 Atterbury LN
Durham, NC 27712-2615

Phone

(919) 477-4556

Fax

(919) 620-1636

NPI assigned

Mar 16, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Lois L Screen

Title

Owner

Phone

(919) 544-4114

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1033243282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5308 SILKWOOD DR",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277131651",
            "telephone_number": "919-477-4556",
            "fax_number": "919-620-1636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1802 ATTERBURY LN",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277122615",
            "telephone_number": "919-477-4556",
            "fax_number": "919-620-1636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATTERBURY FAMILY CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCREEN",
        "authorized_official_first_name": "LOIS",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-544-4114",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NC",
            "license": "FCL032022",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7804307",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stefan Shane Atkinson, CFO, ROA
• Tamara Bradham Atkinson, LCSW
• Atlantic Family Network
• Atlantic Healthcare Services Inc
• David Edward Attarian, M.D.
• Marcella Massenburg Atwater, PMHCNS-BC
• Sireatta Gibson Atwater, R.PH.
• Leah Sage Atwell, MSW, LCSW
• Phyllis Sage Atwell, M.D.
• Kimberly Quail Atwood, RD, PA-C

• 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 Aug 22, 2020; 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.