Active NPI
Central Carolina Home Healthcare
- Home Health Agency
- Fayetteville, NC
National Provider Identifier
1265728869
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- HC4424
- Legal business name
- CENTRAL CAROLINA HOME HEALTHCARE
- Practice address
- 111 Lamon St
Suite 119
Fayetteville, NC 28301-4901 - Phone
- (910) 920-3921
- Fax
- (800) 486-4319
- NPI assigned
- Jun 22, 2011
- 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
- Mrs. Ursula Tomika White,, RN, BSN
- Title
- Ceo,Cno
- Phone
- (910) 920-3921
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | HC4424 | NC | Primary |
Addresses
Primary practice location
111 Lamon St
Suite 119
Fayetteville, NC 28301-4901
Mailing address
PO Box 11065
Fayetteville, NC 28303-2799
Phone (910) 920-3921
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3419172 | Medicaid | NC | |
| 6602287 | Medicaid | NC |
National Provider Directory
National Provider Directory- Tax ID family
- Central Carolina Home Healthcare
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- Jacksonville, NC
- NPI 1225318348
Locations
111 Lamon St
Ste 119
Fayetteville, NC 28301
Phone (910) 920-3921
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308700800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1361664000000",
"number": "1265728869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 11065",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283032799",
"telephone_number": "910-920-3921",
"fax_number": "800-486-4319"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 LAMON ST",
"address_2": "SUITE 119",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283014901",
"telephone_number": "910-920-3921",
"fax_number": "800-486-4319"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTRAL CAROLINA HOME HEALTHCARE",
"organizational_subpart": "NO",
"enumeration_date": "2011-06-22",
"last_updated": "2013-02-24",
"status": "A",
"authorized_official_last_name": "WHITE,",
"authorized_official_first_name": "URSULA",
"authorized_official_middle_name": "TOMIKA",
"authorized_official_title_or_position": "CEO,CNO",
"authorized_official_telephone_number": "910-920-3921",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "RN, BSN"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NC",
"license": "HC4424",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3419172",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6602287",
"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 Feb 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.