Sally J. Jacobs
Individual provider Active NPI Attendant Care Provider · Red Springs, NC
NPI 1629614946 · NPPES record last updated Nov 21, 2019
Key facts
- NPI
- 1629614946
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Attendant Care Provider 3747A0650X
- Practice address
- 401 Ashford Rd.
Red Springs, NC 28377 - Phone
- (910) 843-9277
- NPI assigned
- Nov 21, 2019
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Attendant Care Provider | 3747A0650X | Yes |
Addresses
Primary practice location
401 Ashford Rd.
Red Springs, NC 28377
Mailing address
401 Ashford Rd.
Red Springs, NC 28377
Phone (910) 843-9277
Other providers in Red Springs, NC
- Hope Haven Home Care LLC
- Cal Brandon Hunt
- Chelse Lasha Hunt
- Melba Hurley
- Douglas Jackson
- Willie Ray Jacobs
- Johnson Center Homes, Inc
- Johnson Center II
- Carol C Jones
- Carolyn Strong Jones
All providers in Red Springs, NC · Attendant Care Provider in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 21, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.