Organization Active NPI

Bestcare of Fayetteville LLC

  • Home Health Clinical Nurse Specialist
  • Fayetteville, NC
National Provider Identifier
1295577781
Registry record updated Jun 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Clinical Nurse SpecialistTaxonomy code 364SH0200X
Legal business name
BESTCARE OF FAYETTEVILLE LLC
Practice address
6791 Woodbridge Way 201
Fayetteville, NC 28314-1990
Phone
(910) 224-7477
NPI assigned
Jun 7, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2024

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

Authorized official

Name
Mr. Gary Michael Harris, QP, PSS,LCSW-A
Title
Administrator/Director
Phone
(910) 224-7477

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X
Peer SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 175T00000X
Home Health Clinical Nurse SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 364SH0200X Primary

Addresses

Primary practice location

6791 Woodbridge Way 201
Fayetteville, NC 28314-1990

Mailing address

6791 Woodbridge Way 201
Fayetteville, NC 28314-1990
Phone (910) 224-7477

Other names 1

  • BestCare of Fayetteville LLC Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1717718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717718400000",
    "number": "1295577781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6791 WOODBRIDGE WAY 201",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283141990",
            "telephone_number": "910-224-7477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6791 WOODBRIDGE WAY 201",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283141990",
            "telephone_number": "910-224-7477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BESTCARE OF FAYETTEVILLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-07",
        "last_updated": "2024-06-07",
        "certification_date": "2024-06-07",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "ADMINISTRATOR/DIRECTOR",
        "authorized_official_telephone_number": "910-224-7477",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "QP, PSS,LCSW-A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "364SH0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist, Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BestCare of Fayetteville LLC",
            "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 Jun 7, 2024; 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.