Organization Active NPI

Reign Supreme Homecare Agency LLC

  • In Home Supportive Care Agency
  • Fayetteville, NC
National Provider Identifier
1467205724
Registry record updated Apr 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
REIGN SUPREME HOMECARE AGENCY LLC
Doing business as
Reign Supreme Homecare Agency LLC
Practice address
500 Anona Dr
Fayetteville, NC 28314-2918
Phone
(910) 824-4955
NPI assigned
Apr 8, 2024
Last updated
Apr 8, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
REIGN SUPREME HOMECARE AGENCY LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 8, 2026

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

Authorized official

Name
Mrs. Tammy Lenell McFerrinNPI 1952161432
Title
Owner
Phone
(910) 824-4955

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X
In Home Supportive Care Agency 253Z00000X Primary
Community/Behavioral Health Agency 251S00000X
Peer Specialist 175T00000X

Addresses

Primary practice location

500 Anona Dr
Fayetteville, NC 28314-2918

Mailing address

500 Anona Dr
Fayetteville, NC 28314-2918
Phone (910) 824-4955

Other practice location 1

1010 Hope Mills Rd
Fayetteville, NC 28304-4245
Phone (910) 824-4955

Other names 1

  • Reign Supreme Homecare Agency LLC Doing business as

National Provider Directory

National Provider Directory
Part of
Reign Supreme Homecare Agency LLC

Locations

1010 Hope Mills Rd
Fayetteville, NC 28304
Phone (910) 824-4955

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1712534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775606400000",
    "number": "1467205724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 ANONA DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283142918",
            "telephone_number": "910-824-4955",
            "fax_number": "910-500-5071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 ANONA DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283142918",
            "telephone_number": "910-824-4955"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1010 Hope Mills Rd",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283044245",
            "country_code": "US",
            "telephone_number": "910-824-4955",
            "fax_number": "910-500-5071",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "REIGN SUPREME HOMECARE AGENCY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "REIGN SUPREME HOMECARE AGENCY LLC",
        "enumeration_date": "2024-04-08",
        "last_updated": "2026-04-08",
        "certification_date": "2026-04-08",
        "status": "A",
        "authorized_official_last_name": "MCFERRIN",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_middle_name": "LENELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-824-4955",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Reign Supreme Homecare Agency LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 8, 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.