Active NPI
S & S Associates Home Health Care
- Custodial Care Facility
- Fayetteville, NC
National Provider Identifier
1386768430
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Custodial Care Facility
- License
- HC2410
- 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, 2023
- 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
- Prof. Sheryl Annette Lyons, RN, BSN, SANE, CLNC
- Title
- Director
- Phone
- (910) 864-3426
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6601181 | Medicaid | NC | |
| 3409605 | Medicaid | NC |
National Provider Directory
National Provider DirectoryLocations
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.