Organization Active NPI

Elliott & Hicks Assisted Care Agency

  • In Home Supportive Care Agency
  • Fayetteville, NC
National Provider Identifier
1033894399
Registry record updated Jun 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
ELLIOTT & HICKS ASSISTED CARE AGENCY
Practice address
507 Sandhurst Dr Ste 102
Fayetteville, NC 28304-4433
Phone
(910) 978-1268
NPI assigned
Jun 15, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2023

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

Authorized official

Name
Patricia Elliott
Title
Management
Phone
(910) 978-1268

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

507 Sandhurst Dr Ste 102
Fayetteville, NC 28304-4433

Mailing address

507 Sandhurst Dr Ste 102
Fayetteville, NC 28304-4433
Phone (910) 978-1268

National Provider Directory

National Provider Directory

Locations

507 Sandhurst Dr
Ste 102
Fayetteville, NC 28304
Phone (910) 978-1268

NPI Registry JSON

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

{
    "created_epoch": "1686787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688083200000",
    "number": "1033894399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 SANDHURST DR STE 102",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283044433",
            "telephone_number": "910-978-1268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 SANDHURST DR STE 102",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283044433",
            "telephone_number": "910-978-1268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLIOTT & HICKS ASSISTED CARE AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-15",
        "last_updated": "2023-06-30",
        "certification_date": "2023-06-30",
        "status": "A",
        "authorized_official_last_name": "ELLIOTT",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "MANAGEMENT",
        "authorized_official_telephone_number": "910-978-1268"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2023; 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.