NPIMap

Organization Active NPI

Apb Home Health LLC

  • Home Health Agency
  • Fayetteville, NC
National Provider Identifier
1295064483
Registry record updated Aug 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HC3975 Issued in NC
Legal business name
APB HOME HEALTH LLC
Practice address
2504 Raeford Rd Ste 106
Fayetteville, NC 28305-5135
Phone
(919) 963-2428
Fax
(919) 963-2438
NPI assigned
Dec 17, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2023

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

Authorized official

Name
Ms. Shakisha Nicole Brewington
Title
Owner / Business Manager
Phone
(919) 658-8525

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HC3975 NC Primary

Addresses

Primary practice location

2504 Raeford Rd Ste 106
Fayetteville, NC 28305-5135

Mailing address

P.O. Box 4866
Wilmington, NC 28406-1866
Phone (919) 963-2428

Other identifiers 1

IdentifierTypeStateIssuer
3419244MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
SPC Home Health LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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": "1261008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693008000000",
    "number": "1295064483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 4866",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284061866",
            "telephone_number": "919-963-2428",
            "fax_number": "919-963-2438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2504 RAEFORD RD STE 106",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283055135",
            "telephone_number": "919-963-2428",
            "fax_number": "919-963-2438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APB HOME HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-17",
        "last_updated": "2023-08-26",
        "certification_date": "2023-08-14",
        "status": "A",
        "authorized_official_last_name": "BREWINGTON",
        "authorized_official_first_name": "SHAKISHA",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER / BUSINESS MANAGER",
        "authorized_official_telephone_number": "919-658-8525",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC3975",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3419244",
            "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 Aug 26, 2023; 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.