Active NPI
Marie Hussey
- Adult Care Home Facility
- Lumberton, NC
National Provider Identifier
1033640735
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Care Home Facility
- License
- NH053
- Practice address
- 5701 N Fayetteville Rd
Lumberton, NC 28360-2163 - Phone
- (910) 739-2821
- Fax
- (910) 738-4539
- NPI assigned
- Mar 23, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Care Home Facility | 311ZA0620X | NH053 | NC | Primary |
| Skilled Nursing Facility | 314000000X | NH053 | NC |
Addresses
Primary practice location
5701 N Fayetteville Rd
Lumberton, NC 28360-2163
Mailing address
5701 N Fayetteville Rd
Lumberton, NC 28360-2163
Phone (910) 739-2821
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NH053 | NC | MD | Adult Care Home Facility |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490227200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490227200000",
"number": "1033640735",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5701 N FAYETTEVILLE RD",
"city": "LUMBERTON",
"state": "NC",
"postal_code": "283602163",
"telephone_number": "910-739-2821",
"fax_number": "910-738-4539"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5701 N FAYETTEVILLE RD",
"city": "LUMBERTON",
"state": "NC",
"postal_code": "283602163",
"telephone_number": "910-739-2821",
"fax_number": "910-738-4539"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUSSEY",
"first_name": "MARIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-03-23",
"last_updated": "2017-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "311ZA0620X",
"taxonomy_group": "",
"desc": "Custodial Care Facility, Adult Care Home",
"state": "NC",
"license": "NH053",
"primary": true
},
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NC",
"license": "NH053",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lumberton, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 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.