McDuffie Personal Care Services Inc

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

MHL026659 Issued in NC

Legal business name

MCDUFFIE PERSONAL CARE SERVICES INC

Practice address

1826 Wendover Dr
Fayetteville, NC 28304-1426

Phone

(910) 486-6118

Fax

(910) 425-5450

NPI assigned

Jan 16, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Barbara J Brown, NURSE

Title

Administrator

Phone

(910) 486-6118

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477604288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1826 WENDOVER DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283041426",
            "telephone_number": "910-486-6118",
            "fax_number": "910-425-5450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1826 WENDOVER DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283041426",
            "telephone_number": "910-486-6118",
            "fax_number": "910-425-5450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCDUFFIE PERSONAL CARE SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "910-486-6118",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NURSE"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NC",
            "license": "MHL026659",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3409131",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7804538",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eric Joseph McDonough, OT
• Lynne Marie McDonough
• Jakima McDougald
• Joshua Allen McDowell, D.C.
• James McDuff
• Chelsea E. McDuffie-Jackson, RBT
• Tamyah A McEachern
• Carmen Rae McElfresh, MA CCC-SLP
• Micheala McElveen
• Felisha McElvine, MSW, LCSWA

• Adult Care Home Facility in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Adult Care Home Facility in North Carolina

• 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.