NPIMap

Organization Active NPI

Elsie-Doris Family Care Home II

  • Adult Care Home Facility
  • Durham, NC
National Provider Identifier
1831484385
Registry record updated Jun 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
032-108 Issued in NC
Legal business name
ELSIE-DORIS FAMILY CARE HOME II
Practice address
1009 S Alston Ave
Durham, NC 27701-4407
Phone
(919) 225-5046
Fax
(919) 680-2730
NPI assigned
Jun 13, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2011

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

Authorized official

Name
Mrs. Paquita Tamecia Jones
Title
Administrator/Owner
Phone
(919) 225-5046

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X 032-108 NC Primary

Addresses

Primary practice location

1009 S Alston Ave
Durham, NC 27701-4407

Mailing address

1009 S Alston Ave
Durham, NC 27701-4407
Phone (919) 225-5046

Other names 1

  • ELSIE-DORIS FAMILY CARE HOME Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1307923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307923200000",
    "number": "1831484385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1009 S ALSTON AVE",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277014407",
            "telephone_number": "919-225-5046",
            "fax_number": "919-680-2730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 S ALSTON AVE",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277014407",
            "telephone_number": "919-225-5046",
            "fax_number": "919-680-2730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELSIE-DORIS FAMILY CARE HOME II",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-13",
        "last_updated": "2011-06-13",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "PAQUITA",
        "authorized_official_middle_name": "TAMECIA",
        "authorized_official_title_or_position": "ADMINISTRATOR/OWNER",
        "authorized_official_telephone_number": "919-225-5046",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NC",
            "license": "032-108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ELSIE-DORIS FAMILY CARE HOME",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2011; 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.