The White House Family Care Home, LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

THE WHITE HOUSE FAMILY CARE HOME, LLC

Doing business as

The White House Family Care Home

Practice address

306 Cherry GRV
Durham, NC 27703-3006

Phone

(980) 286-2713

Fax

(919) 294-6164

NPI assigned

Dec 21, 2023

Organization subpart

No

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

Authorized official

Name

Tisa RogersNPI 1295504017

Title

Owner

Phone

(980) 286-2713

Specialties & licenses 1

Addresses

Other names 1

• The White House Family Care Home Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tisa Rogers

  • Adult Care Home Facility
  • Durham, NC
  • NPI 1295504017
  NPD Authorized official

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

{
    "created_epoch": "1703116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714089600000",
    "number": "1295504058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 CHERRY GRV",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277033006",
            "telephone_number": "980-286-2713",
            "fax_number": "919-294-6164"
        },
        {
            "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": "980-286-2713",
            "fax_number": "919-294-6164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE WHITE HOUSE FAMILY CARE HOME, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-21",
        "last_updated": "2024-04-26",
        "certification_date": "2024-04-26",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "TISA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "980-286-2713"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The White House Family Care Home",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The White House Family Care Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• 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 Apr 26, 2024; 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.