Pandora Famiyl Care Home LLC
Custodial Care Facility, Adult Care Home in Clayton, NC. Organization (NPI-2).
Details
- NPI
- 1982115929
- Entity type
- Organization (NPI-2)
- Legal business name
- Pandora Famiyl Care Home LLC
- Organization subpart
- No
- Enumeration date
- Oct 17, 2017
- Last updated
- Oct 17, 2017
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 311ZA0620X | Custodial Care Facility, Adult Care Home | FCL-051-063 | NC | Yes |
Practice location
924 Hobbs StClayton, NC 27520-2933
Phone 919-585-7542 · Fax 919-585-7542
Mailing address
1650 Brownairs LnRaleigh, NC 27610-3490
Phone 919-673-4076 · Fax 919-585-7542
Authorized official
June Akinyi Oburu
Rn/Administrator
9196734076
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 7 Adult Care Home Facility providers in Clayton · All 1,221 providers in Clayton
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