Active NPI
Carolina Homehealth Agency LLC
Doing business as Carolina Homehealth Agency
- In Home Supportive Care Agency
- Fayetteville, NC
National Provider Identifier
1528860210
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- CAROLINA HOMEHEALTH AGENCY LLC
- Doing business as
- Carolina Homehealth Agency
- Practice address
- 1983 Fairforest Dr
Fayetteville, NC 28304-2612 - Phone
- (910) 541-5188
- NPI assigned
- Mar 25, 2025
- Last updated
- Jun 23, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Theophilus Imbufe, DHA,MBA
- Title
- Ceo
- Phone
- (910) 733-3737
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Primary |
Addresses
Primary practice location
1983 Fairforest Dr
Fayetteville, NC 28304-2612
Mailing address
1983 Fairforest Dr
Fayetteville, NC 28304-2612
Phone (910) 541-5188
Other names 1
- CAROLINA HOMEHEALTH AGENCY
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Home Health Agency
- Fayetteville, NC
- NPI 1083412613
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1742860800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1750636800000",
"number": "1528860210",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1983 FAIRFOREST DR",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283042612",
"telephone_number": "910-541-5188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1983 FAIRFOREST DR",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283042612",
"telephone_number": "910-541-5188"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAROLINA HOMEHEALTH AGENCY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-03-25",
"last_updated": "2025-06-23",
"certification_date": "2025-06-23",
"status": "A",
"authorized_official_last_name": "IMBUFE",
"authorized_official_first_name": "THEOPHILUS",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "910-733-3737",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DHA,MBA"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "CAROLINA HOMEHEALTH AGENCY",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "CAROLINA HOMEHEALTH AGENCY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fayetteville, NC
- Carolina Family Practice Centre, PA
- Carolina Footcare, PLLC
- Carolina Health Associates PC (Carolina Health and wellness)
- Carolina Health Care Center of Cumberland County, LP (Carolina Rehab Center of Cumberland)
- Carolina Heart Physicians PLLC
- Carolina Hope Behavioral Health LLC
- Carolina Imaging LLC of Fayetteville
- Carolina Imaging LLC of Fayetteville
- Carolina Imaging LLC of Fayetteville (Carolina Imaging-Ramsey)
- Carolina Kidney Care, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.