Organization Active NPI

PMP Home Care Agency Inc

  • In Home Supportive Care Agency
  • Fayetteville, NC
National Provider Identifier
1568077485
Registry record updated Sep 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
PMP HOME CARE AGENCY INC
Practice address
5329 Yadkin Rd Ste B
Fayetteville, NC 28303-3254
Phone
(910) 850-6631
NPI assigned
Sep 9, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2020

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

Authorized official

Name
Yvette BullockNPI 1730591702
Title
Owner
Phone
(910) 850-6631

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

5329 Yadkin Rd Ste B
Fayetteville, NC 28303-3254

Mailing address

PO Box 1497
Fayetteville, NC 28302-1497

National Provider Directory

National Provider Directory

Locations

5329 Yadkin Rd
Ste B
Fayetteville, NC 28303
Phone (910) 850-6631

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1599609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599609600000",
    "number": "1568077485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1497",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283021497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5329 YADKIN RD STE B",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283033254",
            "telephone_number": "910-850-6631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PMP HOME CARE AGENCY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-09",
        "last_updated": "2020-09-09",
        "certification_date": "2020-09-09",
        "status": "A",
        "authorized_official_last_name": "BULLOCK",
        "authorized_official_first_name": "YVETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-850-6631"
    },
    "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 Sep 9, 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.