Organization Active NPI

Lor-Raine Family Care Home, LLC

  • Adult Care Home Facility
  • Fayetteville, NC
National Provider Identifier
1669308003
Registry record updated Jun 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
LOR-RAINE FAMILY CARE HOME, LLC
Practice address
2712 Morganton Rd
Fayetteville, NC 28303-4951
Phone
(910) 528-7921
NPI assigned
Jun 23, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2026

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

Authorized official

Name
Ms. Tijuana Delroya White
Title
Chief Executive Officer
Phone
(910) 528-7921

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X Primary

Addresses

Primary practice location

2712 Morganton Rd
Fayetteville, NC 28303-4951

Mailing address

854 Long Iron Dr
Fayetteville, NC 28312-8708
Phone (910) 528-7921

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1782172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782172800000",
    "number": "1669308003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "854 LONG IRON DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283128708",
            "telephone_number": "910-528-7921",
            "fax_number": "910-528-7921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2712 MORGANTON RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283034951",
            "telephone_number": "910-528-7921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOR-RAINE FAMILY CARE HOME, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-23",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "TIJUANA",
        "authorized_official_middle_name": "DELROYA",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "910-528-7921",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2026; 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.