NPIMap

Organization Active NPI

Murray Fork Home Care

  • Clinical Social Worker
  • Fayetteville, NC
National Provider Identifier
1265682892
Registry record updated Sep 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
MURRAY FORK HOME CARE
Practice address
1555 Cain Rd Ste 201
Fayetteville, NC 28303-3076
Phone
(910) 480-4181
Fax
(910) 480-4182
NPI assigned
Sep 18, 2008
Last updated
Sep 18, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2008

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

Authorized official

Name
Mrs. Debra Biddle
Title
Owner
Phone
(910) 480-4181

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X NC Primary

Addresses

Primary practice location

1555 Cain Rd Ste 201
Fayetteville, NC 28303-3076

Mailing address

PO Box 35674
Fayetteville, NC 28303-0674
Phone (910) 480-4181

Other identifiers 1

IdentifierTypeStateIssuer
6006479MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Debra Biddle6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

NPI Registry JSON

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

{
    "created_epoch": "1221696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221696000000",
    "number": "1265682892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35674",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283030674",
            "telephone_number": "910-480-4181",
            "fax_number": "910-480-4182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 CAIN RD STE 201",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283033076",
            "telephone_number": "910-480-4181",
            "fax_number": "910-480-4182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MURRAY FORK HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-18",
        "last_updated": "2008-09-18",
        "status": "A",
        "authorized_official_last_name": "BIDDLE",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-480-4181",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6006479",
            "state": "NC"
        }
    ],
    "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 Sep 18, 2008; 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.