Organization Active NPI

Dominion Services

  • Personal Care Attendant
  • Fayetteville, NC
National Provider Identifier
1306080650
Registry record updated Apr 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
Legal business name
DOMINION SERVICES
Practice address
1930 Fort Bragg Rd
Fayetteville, NC 28303-6806
Phone
(910) 527-0890
NPI assigned
Apr 29, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2009

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

Authorized official

Name
Mrs. Toni Gressett
Title
Director
Phone
(910) 527-0890

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care AttendantGroup: 193400000X SINGLE SPECIALTY GROUP 3747P1801X Primary

Addresses

Primary practice location

1930 Fort Bragg Rd
Fayetteville, NC 28303-6806

Mailing address

1930 Fort Bragg Rd
Fayetteville, NC 28303-6806
Phone (910) 527-0890

Other identifiers 1

IdentifierTypeStateIssuer
6601303MedicaidNC

National Provider Directory

National Provider Directory

Locations

1930 Fort Bragg Rd
Fayetteville, NC 28303
Phone (910) 527-0890

NPI Registry JSON

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

{
    "created_epoch": "1240963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240963200000",
    "number": "1306080650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 FORT BRAGG RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283036806",
            "telephone_number": "910-527-0890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 FORT BRAGG RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283036806",
            "telephone_number": "910-527-0890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOMINION SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-29",
        "last_updated": "2009-04-29",
        "status": "A",
        "authorized_official_last_name": "GRESSETT",
        "authorized_official_first_name": "TONI",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "910-527-0890",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6601303",
            "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 Apr 29, 2009; 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.