Organization Active NPI

Secured Home Care Agency LLC

  • In Home Supportive Care Agency
  • Fayetteville, NC
National Provider Identifier
1083418099
Registry record updated May 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
SECURED HOME CARE AGENCY LLC
Practice address
3917 Hummingbird PL
Fayetteville, NC 28312-8065
Phone
(910) 229-3695
Fax
(910) 229-3615
NPI assigned
Apr 1, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2026

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

Authorized official

Name
Mrs. Karena King NelsonNPI 1154125177
Title
Owner
Phone
(910) 229-3695

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

3917 Hummingbird PL
Fayetteville, NC 28312-8065

Mailing address

3917 Hummingbird PL
Fayetteville, NC 28312-8065
Phone (910) 229-3695

National Provider Directory

National Provider Directory

Locations

3388 Dunn Rd
Ste A
Eastover, NC 28312

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1743465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779148800000",
    "number": "1083418099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3917 HUMMINGBIRD PL",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283128065",
            "telephone_number": "910-229-3695",
            "fax_number": "910-229-3615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3917 HUMMINGBIRD PL",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283128065",
            "telephone_number": "910-229-3695",
            "fax_number": "910-229-3615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SECURED HOME CARE AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-01",
        "last_updated": "2026-05-19",
        "certification_date": "2026-05-19",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "KARENA",
        "authorized_official_middle_name": "KING",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-229-3695",
        "authorized_official_name_prefix": "Mrs."
    },
    "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 May 19, 2026; 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.