Organization Active NPI

Essential Home Care Agency

  • In Home Supportive Care Agency
  • Fayetteville, NC
National Provider Identifier
1154727535
Registry record updated Nov 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
ESSENTIAL HOME CARE AGENCY
Practice address
2504 Raeford Rd
Suite 207
Fayetteville, NC 28305-5294
Phone
(910) 483-7199
NPI assigned
Nov 12, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2014

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

Authorized official

Name
Teara Johnson
Title
Director
Phone
(910) 261-8891

Specialties & licenses 1

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

Addresses

Primary practice location

2504 Raeford Rd
Suite 207
Fayetteville, NC 28305-5294

Mailing address

2504 Raeford Rd
Suite 207
Fayetteville, NC 28305-5294
Phone (910) 483-7199

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1415750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415750400000",
    "number": "1154727535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2504 RAEFORD RD",
            "address_2": "SUITE 207",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283055294",
            "telephone_number": "910-483-7199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2504 RAEFORD RD",
            "address_2": "SUITE 207",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283055294",
            "telephone_number": "910-483-7199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESSENTIAL HOME CARE AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-12",
        "last_updated": "2014-11-12",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "TEARA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "910-261-8891"
    },
    "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 Nov 12, 2014; 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.