Active NPI
Libby's Home Care, Inc.
- Home Health Agency
- Fayetteville, NC
National Provider Identifier
1649268244
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- HC2478
- Legal business name
- LIBBY'S HOME CARE, INC.
- Practice address
- 505A Owen Dr
Fayetteville, NC 28304-3433 - Phone
- (910) 223-9993
- Fax
- (910) 223-9994
- NPI assigned
- Oct 9, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Delicia Antoniette McKoy, RN
- Title
- Director
- Phone
- (910) 223-9993
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | HC2478 | NC | Primary |
Addresses
Primary practice location
505A Owen Dr
Fayetteville, NC 28304-3433
Mailing address
505A Owen Dr
Fayetteville, NC 28304-3433
Phone (910) 233-9993
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3418312 | Medicaid | NC | |
| 6601046 | Medicaid | NC |
National Provider Directory
National Provider DirectoryLocations
505A Owen Dr
Fayetteville, NC 28304
Phone (910) 223-9993
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128816000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1241740800000",
"number": "1649268244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "505A OWEN DR",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283043433",
"telephone_number": "910-233-9993",
"fax_number": "910-223-9994"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505A OWEN DR",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283043433",
"telephone_number": "910-223-9993",
"fax_number": "910-223-9994"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIBBY'S HOME CARE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2005-10-09",
"last_updated": "2009-05-08",
"status": "A",
"authorized_official_last_name": "MCKOY",
"authorized_official_first_name": "DELICIA",
"authorized_official_middle_name": "ANTONIETTE",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "910-223-9993",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NC",
"license": "HC2478",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3418312",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6601046",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, NC
- Trunette Lewis
- Victoria Lewis
- Yvonne W Lewis, PA-C
- Sarah Leyhew, A.G.N.P.-C
- Sophia Yiwei Li
- Liberty Commons Nursing and Rehabilitation Center of Highland (Highland House Rehabilitation and Healthcare)
- Liberty Healthcare Group LLC
- Liberty Healthcare Group, LLC
- Liberty Healthcare Group, LLC (Liberty Home Care, LLC)
- Liberty Healthcare Group, LLC (Liberty Home Care, LLC)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.