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LITTLE FAMILY CARE HOME LLC NPI 1891201042


NPI Information

NPI: 1891201042
Provider Name: LITTLE FAMILY CARE HOME, LLC
Classification: Custodial Care Facility - 311ZA0620X
Entity Type: Organization

Specialization: Adult Care Home

Address:
1012 DAVINCI STREET
DURHAM, NC
ZIP 27704
Phone: (984) 227-2543
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LITTLE FAMILY CARE HOME, LLC is an adult care home custodial care facility in Durham, NC. The provider is a custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. LITTLE FAMILY CARE HOME, LLC NPI is 1891201042. The provider is registered as an organization entity type.

The provider's business location address is:

1012 DAVINCI STREET
DURHAM, NC
ZIP 27704
Phone: (984) 227-2543
Fax: (984) 219-6264

The provider's authorized official is Tondra Anjanette Little .
The authorized official title is Administrator and has the following contact phone number (984) 227-2543.

The enumeration date for this NPI number is 12/26/2017 and was last updated on 12/26/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1311ZA0620XCustodial Care FacilityAdult Care HomeFCL-032459NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11033625702MEDICAIDNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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