Organization Active NPI

Lor-Raine Home Care Agency LLC

  • In Home Supportive Care Agency
  • Fayetteville, NC
National Provider Identifier
1568086858
Registry record updated Jun 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
LOR-RAINE HOME CARE AGENCY LLC
Doing business as
Lor-Raine Home Care Agency LLC
Practice address
2413 Robeson St Ste 1
Fayetteville, NC 28305-5500
Phone
(910) 491-3069
Fax
(910) 229-2141
NPI assigned
Jun 2, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2020

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

Authorized official

Name
Mrs. Tijuana Del Roya WhiteNPI 1912537523
Title
Agency Director
Phone
(910) 528-7921

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

2413 Robeson St Ste 1
Fayetteville, NC 28305-5500

Mailing address

2413 Robeson St Ste 1
Fayetteville, NC 28305-5500
Phone (910) 491-3069

Other names 1

  • LOR-RAINE HOME CARE AGENCY LLC Doing business as

National Provider Directory

National Provider Directory

Locations

2413 Robeson St
Ste 1
Fayetteville, NC 28305
Phone (910) 491-3069

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": "1591056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591142400000",
    "number": "1568086858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2413 ROBESON ST STE 1",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283055500",
            "telephone_number": "910-491-3069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2413 ROBESON ST STE 1",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283055500",
            "telephone_number": "910-491-3069",
            "fax_number": "910-229-2141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOR-RAINE HOME CARE AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-02",
        "last_updated": "2020-06-03",
        "certification_date": "2020-06-03",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "TIJUANA",
        "authorized_official_middle_name": "DEL ROYA",
        "authorized_official_title_or_position": "AGENCY DIRECTOR",
        "authorized_official_telephone_number": "910-528-7921",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LOR-RAINE HOME CARE AGENCY LLC",
            "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 3, 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.