Pandora Famiyl Care Home LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

FCL-051-063 Issued in NC

Legal business name

PANDORA FAMIYL CARE HOME LLC

Practice address

924 Hobbs St
Clayton, NC 27520-2933

Phone

(919) 585-7542

Fax

(919) 585-7542

NPI assigned

Oct 17, 2017

Organization subpart

No

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

Authorized official

Name

June Akinyi OburuNPI 1467980755

Title

RN/Administrator

Phone

(919) 673-4076

Specialties & licenses 1

Addresses

Practitioners 1

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

• June Akinyi Oburu

  • In Home Supportive Care Agency
  • Clayton, NC
  • NPI 1467980755
  NPD (past) Authorized official

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

{
    "created_epoch": "1508198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508198400000",
    "number": "1982115929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 BROWNAIRS LN",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276103490",
            "telephone_number": "919-673-4076",
            "fax_number": "919-585-7542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "924 HOBBS ST",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275202933",
            "telephone_number": "919-585-7542",
            "fax_number": "919-585-7542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PANDORA FAMIYL CARE HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-17",
        "last_updated": "2017-10-17",
        "status": "A",
        "authorized_official_last_name": "OBURU",
        "authorized_official_first_name": "JUNE",
        "authorized_official_middle_name": "AKINYI",
        "authorized_official_title_or_position": "RN/ADMINISTRATOR",
        "authorized_official_telephone_number": "919-673-4076"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NC",
            "license": "FCL-051-063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Katrina Padgett, PA-C
• Emily Painter
• Melissa J Palmer, M.A., CCC-A
• Jimmy Nicolas Pan, DO
• Pandora Family Care Home LLC
• Antara Pradip Parkar, PT
• Kimberly Anne Parker
• Qiera A Parrish
• Tim Passerell
• Passionate Care Group Home

• Adult Care Home Facility in Clayton, NC
• Providers in Clayton, 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 Oct 17, 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.