Active NPI
Lumbee Angels 575 Home Care Agency LLC
- In Home Supportive Care Agency
- Pembroke, NC
National Provider Identifier
1366369746
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- LUMBEE ANGELS 575 HOME CARE AGENCY LLC
- Practice address
- 621 Union Chapel Rd Ste B
Pembroke, NC 28372-7142 - Phone
- (910) 775-9255
- Fax
- (910) 775-9257
- NPI assigned
- Jul 6, 2026
- 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
- Carita Jacobs
- Title
- Ceo and Founder
- Phone
- (910) 775-9255
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Primary |
Addresses
Primary practice location
621 Union Chapel Rd Ste B
Pembroke, NC 28372-7142
Mailing address
621 Union Chapel Rd Ste B
Pembroke, NC 28372-7142
Phone (910) 775-9255
National Provider Directory
National Provider DirectoryLocations
621 Union Chapel Rd
Ste B
Pembroke, NC 28372
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1783296000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1783296000000",
"number": "1366369746",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "621 UNION CHAPEL RD STE B",
"city": "PEMBROKE",
"state": "NC",
"postal_code": "283727142",
"telephone_number": "910-775-9255",
"fax_number": "910-775-9257"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "621 UNION CHAPEL RD STE B",
"city": "PEMBROKE",
"state": "NC",
"postal_code": "283727142",
"telephone_number": "910-775-9255",
"fax_number": "910-775-9257"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LUMBEE ANGELS 575 HOME CARE AGENCY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-07-06",
"last_updated": "2026-07-06",
"certification_date": "2026-07-06",
"status": "A",
"authorized_official_last_name": "JACOBS",
"authorized_official_first_name": "CARITA",
"authorized_official_title_or_position": "CEO AND FOUNDER",
"authorized_official_telephone_number": "910-775-9255"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pembroke, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.