Organization Active NPI

Libby's Home Care, Inc.

  • Home Health Agency
  • Fayetteville, NC
National Provider Identifier
1649268244
Registry record updated May 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HC2478 Issued in NC
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

Updated by the provider on May 8, 2009

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
3418312MedicaidNC
6601046MedicaidNC

National Provider Directory

National Provider Directory

Locations

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

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.

Verify at the official NPI Registry.