Organization Active NPI

Home Health Alliance, Inc.

  • Home Health Agency
  • Fayetteville, NC
National Provider Identifier
1073717880
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HC3028 Issued in NC
Legal business name
HOME HEALTH ALLIANCE, INC.
Practice address
804 Stamper Rd
Suite 201
Fayetteville, NC 28303-4379
Phone
(910) 483-9903
Fax
(910) 483-9904
NPI assigned
Jun 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Daryl Hagins
Title
Administrator Owner
Phone
(910) 860-9793

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HC3028 NC Primary

Addresses

Primary practice location

804 Stamper Rd
Suite 201
Fayetteville, NC 28303-4379

Mailing address

804 Stamper Rd
Suite 201
Fayetteville, NC 28303-4379
Phone (910) 483-9903

Other identifiers 1

IdentifierTypeStateIssuer
3408452MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Home Health Alliance Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

804 Stamper Rd
Ste 201
Fayetteville, NC 28303
Phone (910) 748-8000

NPI Registry JSON

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

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073717880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 STAMPER RD",
            "address_2": "SUITE 201",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283034379",
            "telephone_number": "910-483-9903",
            "fax_number": "910-483-9904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 STAMPER RD",
            "address_2": "SUITE 201",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283034379",
            "telephone_number": "910-483-9903",
            "fax_number": "910-483-9904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME HEALTH ALLIANCE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HAGINS",
        "authorized_official_first_name": "DARYL",
        "authorized_official_title_or_position": "ADMINISTRATOR OWNER",
        "authorized_official_telephone_number": "910-860-9793",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC3028",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3408452",
            "state": "NC"
        }
    ],
    "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 Aug 22, 2020; 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.