Organization Active NPI

Village Home Care and Personnel Pool

  • Home Health Agency
  • Fayetteville, NC
National Provider Identifier
1346473832
Registry record updated Aug 31, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HC3876 Issued in NC
Legal business name
VILLAGE HOME CARE AND PERSONNEL POOL
Practice address
1945 Fordham Dr
Fayetteville, NC 28304-3650
Phone
(910) 483-2263
Fax
(910) 483-5668
NPI assigned
Aug 31, 2009
Last updated
Aug 31, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2009

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

Authorized official

Name
Dr. Franklin Clark III, MD
Title
Owner
Phone
(910) 483-2263

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HC3876 NC Primary

Addresses

Primary practice location

1945 Fordham Dr
Fayetteville, NC 28304-3650

Mailing address

1945 Fordham Dr
Fayetteville, NC 28304-3650
Phone (910) 483-2263

National Provider Directory

National Provider Directory

Locations

505 Forsythe St
Fayetteville, NC 28304
Phone (910) 483-2263

NPI Registry JSON

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

{
    "created_epoch": "1251676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251676800000",
    "number": "1346473832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1945 FORDHAM DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043650",
            "telephone_number": "910-483-2263",
            "fax_number": "910-483-5668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1945 FORDHAM DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043650",
            "telephone_number": "910-483-2263",
            "fax_number": "910-483-5668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE HOME CARE AND PERSONNEL POOL",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-31",
        "last_updated": "2009-08-31",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "FRANKLIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-483-2263",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC3876",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 31, 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.