Princess Pines Family Care Home Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

PRINCESS PINES FAMILY CARE HOME INC

Practice address

3811 Wake Forest Rd
Durham, NC 27703-3605

Phone

(919) 452-7716

NPI assigned

Jun 23, 2010

Organization subpart

No

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

Authorized official

Name

Ali Basil Watson

Title

Administrator

Phone

(919) 452-7716

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1277251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277251200000",
    "number": "1255642468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 GWENDOLYN CIR",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277032903",
            "telephone_number": "919-452-7716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3811 WAKE FOREST RD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277033605",
            "telephone_number": "919-452-7716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRINCESS PINES FAMILY CARE HOME INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-23",
        "last_updated": "2010-06-23",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "ALI",
        "authorized_official_middle_name": "BASIL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "919-452-7716"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prime Care Support Services, PLLC
• Primo Transportation Services LLC
• Mariah Prince-Allen, FNP-BC
• Colleen E Prince, RD, PA-C
• Katherine Elizabeth Prince, FNP-C
• Brad Prinzhorn
• Elizabeth Pritchard, LCSWA
• Nichole T Pritchard, COTA
• Jonathan Pritchett, PHARM.D.
• Erica B Pritzker, PSYD

• Assisted Living Facility in Durham, NC
• Providers in Durham, NC by specialty
• Assisted Living Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2010; 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.