Organization Active NPI

Simple Home Healthcare

  • Home Health Agency
  • Fayetteville, NC
National Provider Identifier
1497812408
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HC3607 Issued in NC
Legal business name
SIMPLE HOME HEALTHCARE
Practice address
912 Hope Mills Rd
Fayetteville, NC 28304-4243
Phone
(910) 426-9600
Fax
(910) 426-2940
NPI assigned
Jan 2, 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
Jimika Collette Evans
Title
Director
Phone
(910) 426-9600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HC3607 NC Primary

Addresses

Primary practice location

912 Hope Mills Rd
Fayetteville, NC 28304-4243

Mailing address

912 Hope Mills Rd Ste B
Fayetteville, NC 28304-0000
Phone (910) 426-9600

Other identifiers 1

IdentifierTypeStateIssuer
1760557623MedicaidNC

Other names 1

  • Simply Home Healthcare Doing business as

National Provider Directory

National Provider Directory

Locations

912 Hope Mills Rd
Fayetteville, NC 28304
Phone (910) 426-9600

912 Hope Mills Rd
#B
Fayetteville, NC 28304

NPI Registry JSON

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497812408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "912 HOPE MILLS RD STE B",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283040000",
            "telephone_number": "910-426-9600",
            "fax_number": "910-426-2940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "912 HOPE MILLS RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283044243",
            "telephone_number": "910-426-9600",
            "fax_number": "910-426-2940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMPLE HOME HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "JIMIKA",
        "authorized_official_middle_name": "COLLETTE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "910-426-9600"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC3607",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1760557623",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Simply Home Healthcare",
            "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 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.