Second Wind Homecare LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

SECOND WIND HOMECARE LLC

Practice address

2018 Fort Bragg Rd Ste 114B
Fayetteville, NC 28303-7039

Phone

(910) 651-5431

NPI assigned

Apr 5, 2021

Organization subpart

No

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

Authorized official

Name

Chasity Carter

Title

Owner

Phone

(910) 651-5431

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1617580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617580800000",
    "number": "1336728682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2018 FORT BRAGG RD STE 114B",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283037039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2018 FORT BRAGG RD STE 114B",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283037039",
            "telephone_number": "910-651-5431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SECOND WIND HOMECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-05",
        "last_updated": "2021-04-05",
        "certification_date": "2021-04-05",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "CHASITY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-651-5431"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• In Home Supportive Care Agency in Fayetteville, NC
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• In Home Supportive Care Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2021; 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.