Organization Active NPI

Heart to Heart Home Care Agency, Inc.

  • Nursing Care Agency
  • Fayetteville, NC
National Provider Identifier
1437227626
Registry record updated Dec 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
License
HC3222 Issued in NC
Legal business name
HEART TO HEART HOME CARE AGENCY, INC.
Practice address
2904 Fort Bragg Rd
Fayetteville, NC 28303-4725
Phone
(910) 484-8080
Fax
(910) 484-9080
NPI assigned
Dec 4, 2006
Last updated
Dec 10, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2007

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

Authorized official

Name
Mrs. Gloria D Johnson
Title
Director
Phone
(910) 484-8080

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X HC3222 NC Primary

Addresses

Primary practice location

2904 Fort Bragg Rd
Fayetteville, NC 28303-4725

Mailing address

6219 Milford Rd
Fayetteville, NC 28303-2639
Phone (910) 480-1132

Other identifiers 5

IdentifierTypeStateIssuer
3418081MedicaidNC
8301793MedicaidNC
6601411MedicaidNC
8301793BMedicaidNC
8301793GMedicaidNC

National Provider Directory

National Provider Directory

Locations

2904 Fort Bragg Rd
Fayetteville, NC 28303
Phone (910) 484-8080

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197244800000",
    "number": "1437227626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6219 MILFORD RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283032639",
            "telephone_number": "910-480-1132",
            "fax_number": "910-484-9080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2904 FORT BRAGG RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283034725",
            "telephone_number": "910-484-8080",
            "fax_number": "910-484-9080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEART TO HEART HOME CARE AGENCY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2007-12-10",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "910-484-8080",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "NC",
            "license": "HC3222",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3418081",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301793",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6601411",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301793B",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301793G",
            "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 Dec 10, 2007; 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.