NPIMap

Organization Active NPI

PD Homecare Agency, Inc.

  • In Home Supportive Care Agency
  • Fayetteville, NC
National Provider Identifier
1043560014
Registry record updated Sep 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
HC3222 Issued in NC
Legal business name
PD HOMECARE AGENCY, INC.
Practice address
709 Hay St
Fayetteville, NC 28301-5423
Phone
(910) 321-0069
NPI assigned
Sep 17, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2012

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

Authorized official

Name
Pamela Daniels
Title
Owner
Phone
(910) 321-0069

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X HC3222 NC Primary

Addresses

Primary practice location

709 Hay St
Fayetteville, NC 28301-5423

Mailing address

709 Hay St
Fayetteville, NC 28301-5423
Phone (910) 321-0069

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1347840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347840000000",
    "number": "1043560014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 HAY ST",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283015423",
            "telephone_number": "910-321-0069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 HAY ST",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283015423",
            "telephone_number": "910-321-0069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PD HOMECARE AGENCY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-17",
        "last_updated": "2012-09-17",
        "status": "A",
        "authorized_official_last_name": "DANIELS",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-321-0069"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NC",
            "license": "HC3222",
            "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 Sep 17, 2012; 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.