NPIMap

Organization Active NPI

Murray Fork Home Care (Community Support Services)

Doing business as Debra Biddle

  • Community/Behavioral Health Agency
  • Fayetteville, NC
National Provider Identifier
1336264910
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
MURRAY FORK HOME CARE (COMMUNITY SUPPORT SERVICES)
Doing business as
Debra Biddle
Practice address
209 Murray Fork Dr
Fayetteville, NC 28314-0902
Phone
(910) 670-0917
Fax
(910) 480-4182
NPI assigned
Mar 20, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Debra Biddle
Title
Owner
Phone
(910) 670-0917

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NC Primary

Addresses

Primary practice location

209 Murray Fork Dr
Fayetteville, NC 28314-0902

Mailing address

PO Box 35674
Fayetteville, NC 28303-0674
Phone (910) 670-0917

Other identifiers 1

IdentifierTypeStateIssuer
8301020BMedicaidNC

Other names 1

  • Debra Biddle Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Debra Biddle6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336264910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35674",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283030674",
            "telephone_number": "910-670-0917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 MURRAY FORK DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283140902",
            "telephone_number": "910-670-0917",
            "fax_number": "910-480-4182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MURRAY FORK HOME CARE (COMMUNITY SUPPORT SERVICES)",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BIDDLE",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-670-0917",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301020B",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Debra Biddle",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 22, 2020; 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.