Organization Active NPI

Harvest Health Services, LLC

  • In Home Supportive Care Agency
  • Fayetteville, NC
National Provider Identifier
1215340690
Registry record updated Dec 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
HARVEST HEALTH SERVICES, LLC
Practice address
3409 Cypress Bend TRL
Fayetteville, NC 28306-0055
Phone
(910) 728-2908
Fax
(910) 920-9090
NPI assigned
Jun 3, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2025

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

Authorized official

Name
Mrs. Cordelia C Davis, CEO
Title
Ceo
Phone
(910) 728-2908

Specialties & licenses 1

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

Addresses

Primary practice location

3409 Cypress Bend TRL
Fayetteville, NC 28306-0055

Mailing address

3409 Cypress Bend TRL
Fayetteville, NC 28306-0055
Phone (910) 728-2908

Other names 1

  • Harvest Health Services, Inc Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Harvest Health Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2940 Breezewood Ave
Ste 201
Fayetteville, NC 28303

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1401753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766448000000",
    "number": "1215340690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3409 CYPRESS BEND TRL",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283060055",
            "telephone_number": "910-728-2908",
            "fax_number": "910-920-9090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3409 CYPRESS BEND TRL",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283060055",
            "telephone_number": "910-728-2908",
            "fax_number": "910-920-9090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARVEST HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-03",
        "last_updated": "2025-12-23",
        "certification_date": "2025-12-23",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "CORDELIA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "910-728-2908",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Harvest Health Services, Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Dec 23, 2025; 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.