Carolina Professional Management, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

HC-3187 Issued in NC

Legal business name

CAROLINA PROFESSIONAL MANAGEMENT, LLC

Practice address

4200 Morganton Rd
Suite 200-10
Fayetteville, NC 28314-1588

Phone

(910) 487-0405

Fax

(910) 864-9274

NPI assigned

May 19, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Wayne L. Wampler, MA

Title

Member-Manager

Phone

(910) 487-0405

Specialties & licenses 1

Addresses

Other names 1

• AmeriCare HomeCare Doing business as

Locations

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

{
    "created_epoch": "1242691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706054400000",
    "number": "1639304652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 MORGANTON RD",
            "address_2": "SUITE 200-10",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283141588",
            "telephone_number": "910-487-0405",
            "fax_number": "910-864-9274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 MORGANTON RD",
            "address_2": "SUITE 200-10",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283141588",
            "telephone_number": "910-487-0405",
            "fax_number": "910-864-9274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA PROFESSIONAL MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-19",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A",
        "authorized_official_last_name": "WAMPLER",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "MEMBER-MANAGER",
        "authorized_official_telephone_number": "910-487-0405",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NC",
            "license": "HC-3187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AmeriCare HomeCare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carolina Outreach, LLC
• Carolina Outreach, LLC
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• Carolina Pediatric Group, P.a.
• Carolina Plastic Surgery of Fayetteville PC
• Carolina Psychiatry, P.C.
• Carolina Psychological Associates LLP
• Carolina Residential Services
• Carolina Residential Services, Inc
• Carolina Residential Services, Inc.

• In Home Supportive Care Agency in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• In Home Supportive Care Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2024; 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.