Organization Active NPI

Lumbee Angels 575 Home Care Agency LLC

  • In Home Supportive Care Agency
  • Pembroke, NC
National Provider Identifier
1366369746
Registry record updated Jul 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
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

Updated by the provider on Jul 6, 2026

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.