NPIMap

Organization Active NPI

Shipman-Fayetteville

  • Home Health Agency
  • Fayetteville, NC
National Provider Identifier
1477867802
Registry record updated Jul 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HC4145 Issued in NC
Legal business name
SHIPMAN-FAYETTEVILLE
Practice address
930 Cambridge St
Ste 200
Fayetteville, NC 28303-9625
Phone
(910) 321-1047
Fax
(910) 321-1049
NPI assigned
Jul 27, 2010
Organization subpart
Yes
Parent organization
SHIPMAN FAMILY HOME CARE, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 27, 2010

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

Authorized official

Name
Ms. Gladys F Shipman
Title
Executive Director
Phone
(336) 272-7545

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HC4145 NC Primary

Addresses

Primary practice location

930 Cambridge St
Ste 200
Fayetteville, NC 28303-9625

Mailing address

1614 E Market St
Greensboro, NC 27401-3210
Phone (336) 272-7919

National Provider Directory

National Provider Directory
Tax ID family
Shipman-Southerpines18 organizations share this tax ID, including this one
Part of
Shipman-Southerpines

Other organizations with this tax ID 17

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

View all 17

Locations

930 Cambridge St
Ste 200
Fayetteville, NC 28303
Phone (910) 321-1047

NPI Registry JSON

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

{
    "created_epoch": "1280188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280188800000",
    "number": "1477867802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1614 E MARKET ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274013210",
            "telephone_number": "336-272-7919",
            "fax_number": "336-272-0612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 CAMBRIDGE ST",
            "address_2": "STE 200",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283039625",
            "telephone_number": "910-321-1047",
            "fax_number": "910-321-1049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIPMAN-FAYETTEVILLE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SHIPMAN FAMILY HOME CARE, INC",
        "enumeration_date": "2010-07-27",
        "last_updated": "2010-07-27",
        "status": "A",
        "authorized_official_last_name": "SHIPMAN",
        "authorized_official_first_name": "GLADYS",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "336-272-7545",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC4145",
            "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 Jul 27, 2010; 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.