Organization Active NPI

Carolina Homehealth Agency LLC

Doing business as Carolina Homehealth Agency

  • In Home Supportive Care Agency
  • Fayetteville, NC
National Provider Identifier
1528860210
Registry record updated Jun 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
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, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2025

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

Authorized official

Name
Dr. Theophilus Imbufe, DHA,MBANPI 1083412613
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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Practitioners & 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.

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

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.

Verify at the official NPI Registry.