Organization Active NPI

S & S Associates Home Health Care

  • Custodial Care Facility
  • Fayetteville, NC
National Provider Identifier
1386768430
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Custodial Care FacilityTaxonomy code 311Z00000X
License
HC2410 Issued in NC
Legal business name
S & S ASSOCIATES HOME HEALTH CARE
Practice address
204 S Reilly Rd
Fayetteville, NC 28314-0340
Phone
(910) 864-3426
Fax
(910) 764-1457
NPI assigned
Mar 16, 2007
Last updated
Sep 6, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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

Authorized official

Name
Prof. Sheryl Annette Lyons, RN, BSN, SANE, CLNC
Title
Director
Phone
(910) 864-3426

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Custodial Care Facility 311Z00000X HC2410 NC Primary

Addresses

Primary practice location

204 S Reilly Rd
Fayetteville, NC 28314-0340

Mailing address

204 S Reilly Rd
Fayetteville, NC 28314-0340
Phone (910) 864-3426

Other identifiers 2

IdentifierTypeStateIssuer
6601181MedicaidNC
3409605MedicaidNC

National Provider Directory

National Provider Directory

Locations

204 S Reilly Rd
Fayetteville, NC 28314
Phone (910) 864-3426

NPI Registry JSON

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1386768430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 S REILLY RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283140340",
            "telephone_number": "910-864-3426",
            "fax_number": "910-764-1457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 S REILLY RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283140340",
            "telephone_number": "910-864-3426",
            "fax_number": "910-764-1457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S & S ASSOCIATES HOME HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2023-09-06",
        "status": "A",
        "authorized_official_last_name": "LYONS",
        "authorized_official_first_name": "SHERYL",
        "authorized_official_middle_name": "ANNETTE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "910-864-3426",
        "authorized_official_name_prefix": "Prof.",
        "authorized_official_credential": "RN, BSN, SANE, CLNC"
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": "NC",
            "license": "HC2410",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6601181",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3409605",
            "state": "NC"
        }
    ],
    "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 Sep 6, 2023; 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.