Organization Active NPI

Amazing Home Care Agency

  • In Home Supportive Care Agency
  • Fayetteville, NC
National Provider Identifier
1548492002
Registry record updated Aug 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
AMAZING HOME CARE AGENCY
Practice address
1909 Bragg Blvd Ste 102B
Fayetteville, NC 28303-4386
Phone
(910) 884-3080
Fax
(910) 884-0193
NPI assigned
Aug 18, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2009

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

Authorized official

Name
Mr. James E McCoy
Title
Ceo
Phone
(910) 884-3080

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

1909 Bragg Blvd Ste 102B
Fayetteville, NC 28303-4386

Mailing address

1909 Bragg Blvd Ste 102B
Fayetteville, NC 28303-4386
Phone (910) 884-3080

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1250553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250553600000",
    "number": "1548492002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1909 BRAGG BLVD STE 102B",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283034386",
            "telephone_number": "910-884-3080",
            "fax_number": "910-884-0193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1909 BRAGG BLVD STE 102B",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283034386",
            "telephone_number": "910-884-3080",
            "fax_number": "910-884-0193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMAZING HOME CARE AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-18",
        "last_updated": "2009-08-18",
        "status": "A",
        "authorized_official_last_name": "MCCOY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "910-884-3080",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "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 Aug 18, 2009; 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.