Active NPI
Phillips Home Health Care
- Home Health Agency
- Fayetteville, NC
National Provider Identifier
1104140474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- HC4034
- Legal business name
- PHILLIPS HOME HEALTH CARE
- Practice address
- 231 Winslow St
Fayetteville, NC 28301-5515 - Phone
- (404) 423-3129
- Fax
- (252) 246-0500
- NPI assigned
- Mar 16, 2010
- Organization subpart
- Yes
- Parent organization
- PHILLIPS HOME HEALTH CARE
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rennard Harris, MS
- Title
- Director/Owner
- Phone
- (404) 423-3129
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | HC4034 | NC | Primary |
Addresses
Primary practice location
231 Winslow St
Fayetteville, NC 28301-5515
Mailing address
231 Winslow St
Fayetteville, NC 28301-5515
Phone (404) 423-3129
National Provider Directory
National Provider Directory- Tax ID family
- Phillips Home Health Care Agency
- Part of
- Phillips Home Health Care Agency
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- Wilson, NC
- NPI 1619291903
-
- Home Health Agency
- Wilson, NC
- NPI 1629303003
Locations
231 Winslow St
Fayetteville, NC 28301
Phone (404) 423-3129
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Home Health Agency
- Wilson, NC
- NPI 1619291903
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268697600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1268697600000",
"number": "1104140474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "231 WINSLOW ST",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283015515",
"telephone_number": "404-423-3129",
"fax_number": "252-246-0500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "231 WINSLOW ST",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283015515",
"telephone_number": "404-423-3129",
"fax_number": "252-246-0500"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHILLIPS HOME HEALTH CARE",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "PHILLIPS HOME HEALTH CARE",
"enumeration_date": "2010-03-16",
"last_updated": "2010-03-16",
"status": "A",
"authorized_official_last_name": "HARRIS",
"authorized_official_first_name": "RENNARD",
"authorized_official_title_or_position": "DIRECTOR/OWNER",
"authorized_official_telephone_number": "404-423-3129",
"authorized_official_credential": "MS"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NC",
"license": "HC4034",
"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 Mar 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.