Organization Active NPI

NC Quality Home Care

  • In Home Supportive Care Agency
  • Fayetteville, NC
National Provider Identifier
1588964688
Registry record updated Oct 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
NC QUALITY HOME CARE
Practice address
3007 Raeford Road
Fayetteville, NC 28303
Phone
(910) 426-2273
Fax
(910) 868-6164
NPI assigned
Oct 25, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2010

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

Authorized official

Name
Ms. Karla Denise Sessoms
Title
Chief Executive Officer
Phone
(910) 273-3668

Specialties & licenses 1

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

Addresses

Primary practice location

3007 Raeford Road
Fayetteville, NC 28303

Mailing address

PO Box 40336
Fayetteville, NC 28309-0336
Phone (910) 426-2273

Other identifiers 1

IdentifierTypeStateIssuer
12345678MedicaidNC

National Provider Directory

National Provider Directory

Locations

3007 Raeford Rd
Fayetteville, NC 28303
Phone (910) 426-2273

NPI Registry JSON

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

{
    "created_epoch": "1287964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287964800000",
    "number": "1588964688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40336",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283090336",
            "telephone_number": "910-426-2273",
            "fax_number": "910-428-0838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3007 RAEFORD ROAD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "28303",
            "telephone_number": "910-426-2273",
            "fax_number": "910-868-6164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NC QUALITY HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-25",
        "last_updated": "2010-10-25",
        "status": "A",
        "authorized_official_last_name": "SESSOMS",
        "authorized_official_first_name": "KARLA",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "CHIEF  EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "910-273-3668",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "12345678",
            "state": "NC"
        }
    ],
    "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 Oct 25, 2010; 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.