NPIMap

Organization Active NPI

Professional Home Care of NC

  • In Home Supportive Care Agency
  • Fayetteville, NC
National Provider Identifier
1588955223
Registry record updated Feb 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
HC4395 Issued in NC
Legal business name
PROFESSIONAL HOME CARE OF NC
Practice address
315 Badger CT
Fayetteville, NC 28303-3121
Phone
(919) 523-7659
Fax
(910) 867-4955
NPI assigned
Apr 28, 2011
Last updated
Feb 13, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2013

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

Authorized official

Name
Mrs. Yolanda Baker
Title
Director
Phone
(919) 523-7659

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X HC4395 NC Primary

Addresses

Primary practice location

315 Badger CT
Fayetteville, NC 28303-3121

Mailing address

PO Box 27893
Fayetteville, NC 28314-5048
Phone (919) 523-7659

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1303948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360713600000",
    "number": "1588955223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27893",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283145048",
            "telephone_number": "919-523-7659",
            "fax_number": "910-867-4955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 BADGER CT",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283033121",
            "telephone_number": "919-523-7659",
            "fax_number": "910-867-4955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL HOME CARE OF NC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-28",
        "last_updated": "2013-02-13",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "YOLANDA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "919-523-7659",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NC",
            "license": "HC4395",
            "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 Feb 13, 2013; 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.