Organization Active NPI

Caring Hearts Home Care Agency

  • Nursing Care Agency
  • Fayetteville, NC
National Provider Identifier
1467589127
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
Legal business name
CARING HEARTS HOME CARE AGENCY
Practice address
1620 Clinton Rd Ste D
Fayetteville, NC 28312-5368
Phone
(910) 630-2025
Fax
(910) 630-5079
NPI assigned
Feb 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Karena Nelson
Title
Owner
Phone
(910) 630-2025

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X Primary

Addresses

Primary practice location

1620 Clinton Rd Ste D
Fayetteville, NC 28312-5368

Mailing address

1620 Clinton Rd Ste D
Fayetteville, NC 28312-5368
Phone (910) 630-2025

Other identifiers 2

IdentifierTypeStateIssuer
6601578MedicaidNC
3418331MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Caring Hearts Home Care Agency2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1620 Clinton Rd
Ste D
Fayetteville, NC 28312
Phone (910) 630-2025

NPI Registry JSON

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467589127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 CLINTON RD STE D",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283125368",
            "telephone_number": "910-630-2025",
            "fax_number": "910-630-5079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 CLINTON RD STE D",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283125368",
            "telephone_number": "910-630-2025",
            "fax_number": "910-630-5079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARING HEARTS HOME CARE AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "KARENA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-630-2025",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6601578",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3418331",
            "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 Aug 22, 2020; 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.