Little Family Care Home, LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

FCL-032459 Issued in NC

Legal business name

LITTLE FAMILY CARE HOME, LLC

Practice address

1012 Davinci Street
Durham, NC 27704

Phone

(984) 227-2543

Fax

(984) 219-6264

NPI assigned

Dec 26, 2017

Organization subpart

No

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

Authorized official

Name

Miss Tondra Anjanette LittleNPI 1033625702

Title

Administrator

Phone

(984) 227-2543

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Tondra A Little

  • Clinical Social Worker
  • Durham, NC
  • NPI 1033625702

  Adult Care Home

  NPD (past) Authorized official

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

{
    "created_epoch": "1514246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1514246400000",
    "number": "1891201042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16014",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277041014",
            "telephone_number": "984-227-2543",
            "fax_number": "984-219-6264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1012 DAVINCI STREET",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "27704",
            "telephone_number": "984-227-2543",
            "fax_number": "984-219-6264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITTLE FAMILY CARE HOME, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-26",
        "last_updated": "2017-12-26",
        "status": "A",
        "authorized_official_last_name": "LITTLE",
        "authorized_official_first_name": "TONDRA",
        "authorized_official_middle_name": "ANJANETTE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "984-227-2543",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NC",
            "license": "FCL-032459",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1033625702",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ellis Knox List, D.D.S.
• Melissa Batenic List, M.S., PA-C
• Margaret Anne Liston, LCSWA
• Lara Elena Liszka
• Jerry Richard Lithman, MD
• Little Seeds Speech Therapy, PLLC
• Little Sloth Healthcare of New Jersey, P.C.
• Little Steps, Big Leaps
• Little Wing LLC
• Brettelyn Knell Little

• 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 Dec 26, 2017; 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.