Active NPI
Bob Inman Incorporated
- Community/Behavioral Health Agency
- Fayetteville, NC
National Provider Identifier
1215051222
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- HC1297
- Legal business name
- BOB INMAN INCORPORATED
- Practice address
- 3724 Sycamore Dairy Rd
Suite 116
Fayetteville, NC 28303-3495 - Phone
- (910) 609-1800
- NPI assigned
- Mar 16, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Robert D Inman
- Title
- President
- Phone
- (910) 609-1800
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | HC1297 | NC | |
| Nursing Care Agency | 251J00000X | HC1297 | NC | |
| Community/Behavioral Health Agency | 251S00000X | HC1297 | NC | Primary |
Addresses
Primary practice location
3724 Sycamore Dairy Rd
Suite 116
Fayetteville, NC 28303-3495
Mailing address
PO Box 35333
Fayetteville, NC 28303-0333
Phone (910) 609-1800
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6600502 | Medicaid | NC | |
| 7100504 | Medicaid | NC | |
| 3408735 | Medicaid | NC |
Other names 1
- Inman Home Health
National Provider Directory
National Provider Directory- Tax ID family
- Bob Inman Incorporated
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Multi-Specialty Clinic/Center
- Fayetteville, NC
- NPI 1346672201
-
- Multi-Specialty Clinic/Center
- Fayetteville, NC
- NPI 1508298449
Locations
3724 Sycamore Dairy Rd
Ste 116
Fayetteville, NC 28303
Phone (910) 609-1800
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174003200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1427241600000",
"number": "1215051222",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 35333",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283030333",
"telephone_number": "910-609-1800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3724 SYCAMORE DAIRY RD",
"address_2": "SUITE 116",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283033495",
"telephone_number": "910-609-1800"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BOB INMAN INCORPORATED",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-16",
"last_updated": "2015-03-25",
"status": "A",
"authorized_official_last_name": "INMAN",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "910-609-1800",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NC",
"license": "HC1297",
"primary": false
},
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": "NC",
"license": "HC1297",
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NC",
"license": "HC1297",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6600502",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100504",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3408735",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Inman Home Health",
"code": "3",
"type": "Doing Business As"
}
]
}
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 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.