Organization Active NPI

J&J Home Care Agency

  • Preferred Provider Organization
  • Fayetteville, NC
National Provider Identifier
1386882728
Registry record updated May 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
Legal business name
J&J HOME CARE AGENCY
Practice address
111 Lamon St
Suite 216
Fayetteville, NC 28301-4901
Phone
(910) 874-5523
Fax
(910) 263-8719
NPI assigned
Jan 22, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2009

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

Authorized official

Name
Mrs. Teresa M Marible
Title
Ownet
Phone
(910) 874-5523

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X Primary

Addresses

Primary practice location

111 Lamon St
Suite 216
Fayetteville, NC 28301-4901

Mailing address

PO Box 3163
Fayetteville, NC 28302-3163
Phone (910) 874-5523

National Provider Directory

National Provider Directory

Locations

111 Lamon St
Ste 216
Fayetteville, NC 28301
Phone (910) 874-5523

NPI Registry JSON

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

{
    "created_epoch": "1232582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242777600000",
    "number": "1386882728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3163",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283023163",
            "telephone_number": "910-874-5523",
            "fax_number": "910-822-9702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 LAMON ST",
            "address_2": "SUITE 216",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283014901",
            "telephone_number": "910-874-5523",
            "fax_number": "910-263-8719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J&J HOME CARE AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-22",
        "last_updated": "2009-05-20",
        "status": "A",
        "authorized_official_last_name": "MARIBLE",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNET",
        "authorized_official_telephone_number": "910-874-5523",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": null,
            "license": null,
            "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 May 20, 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.