Active NPI
Bestcare of Fayetteville LLC
- Home Health Clinical Nurse Specialist
- Fayetteville, NC
National Provider Identifier
1295577781
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Clinical Nurse Specialist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Peer Specialist | 175T00000X | |||
| Home Health Clinical Nurse Specialist | 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
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Fayetteville, NC
- NPI 1902647746
-
- Case Manager/Care Coordinator
- Fayetteville, NC
- NPI 1992559355
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.