Provider Demographics
NPI:1427840255
Name:AJE FAMILY CARE HOME LLC
Entity type:Organization
Organization Name:AJE FAMILY CARE HOME LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:
Authorized Official - Last Name:KALOKO
Authorized Official - Suffix:
Authorized Official - Credentials:DNP
Authorized Official - Phone:919-267-0666
Mailing Address - Street 1:1024 TOPANS DR
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27603-9486
Mailing Address - Country:US
Mailing Address - Phone:919-917-1677
Mailing Address - Fax:
Practice Address - Street 1:812 GROVE CREEK LN
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27610-8014
Practice Address - Country:US
Practice Address - Phone:919-267-0666
Practice Address - Fax:919-594-1843
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-19
Last Update Date:2025-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311Z00000XNursing & Custodial Care FacilitiesCustodial Care Facility