NPIMap

Organization Active NPI

Restorative Nursing Services

  • In Home Supportive Care Agency
  • Fayetteville, NC
National Provider Identifier
1164743456
Registry record updated Nov 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
HC4111 Issued in NC
Legal business name
RESTORATIVE NURSING SERVICES
Practice address
111 Lamon St Ste 124
Fayetteville, NC 28301-4956
Phone
(910) 672-7043
Fax
(800) 403-8236
NPI assigned
Jun 21, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2011

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

Authorized official

Name
Ms. Cheryl Denise Williams, RN, M. ED
Title
Owner/Director
Phone
(910) 583-0264

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X HC4111 NC Primary

Addresses

Primary practice location

111 Lamon St Ste 124
Fayetteville, NC 28301-4956

Mailing address

111 Lamon St Ste 124
Fayetteville, NC 28301-4956
Phone (910) 672-7043

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1277078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320192000000",
    "number": "1164743456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 LAMON ST STE 124",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283014956",
            "telephone_number": "910-672-7043",
            "fax_number": "800-403-8236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 LAMON ST STE 124",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283014956",
            "telephone_number": "910-672-7043",
            "fax_number": "800-403-8236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORATIVE NURSING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-21",
        "last_updated": "2011-11-02",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "910-583-0264",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN, M. ED"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NC",
            "license": "HC4111",
            "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 2, 2011; 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.