Individual provider Active NPI

Lashonda Renee Wofford

  • Home Health Agency
  • Hope Mills, NC
National Provider Identifier
1669007563
Registry record updated Sep 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Practice address
5405 Quarter Pole LN
Hope Mills, NC 28348-8355
Phone
(910) 568-5319
Fax
(910) 491-9719
NPI assigned
Mar 11, 2020
Last updated
Sep 14, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2020

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary
Nursing Care Agency 251J00000X HC5389 NC
Homemaker 376J00000X HC5389 NC
Nurse's Aide 376K00000X HC5389 NC
Respite Care 385H00000X HC5389 NC
In Home Supportive Care Agency 253Z00000X HC5389 NC
Community/Behavioral Health Agency 251S00000X HC5389 NC

Addresses

Primary practice location

5405 Quarter Pole LN
Hope Mills, NC 28348-8355

Mailing address

5405 Quarter Pole LN
Hope Mills, NC 28348-8355
Phone (910) 568-5319

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
HC5389NCMDNurse's Aide

Practice roles

OrganizationSpecialtyStatusNew patients
I Am Mrs. Lashonda Wofford, LLC Homemaker Current Accepting new patients
Wofford and Williams Inc Home Health Current Accepting new patients
Wofford and Williams Inc Nursing Care Current Accepting new patients

Locations

910 Hope Mills Rd
Fayetteville, NC 28304
Phone (910) 684-3595

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1583884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600041600000",
    "number": "1669007563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5405 QUARTER POLE LN",
            "city": "HOPE MILLS",
            "state": "NC",
            "postal_code": "283488355",
            "telephone_number": "910-568-5319",
            "fax_number": "910-491-9719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5405 QUARTER POLE LN",
            "city": "HOPE MILLS",
            "state": "NC",
            "postal_code": "283488355",
            "telephone_number": "910-568-5319",
            "fax_number": "910-491-9719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOFFORD",
        "first_name": "LASHONDA",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-11",
        "last_updated": "2020-09-14",
        "certification_date": "2020-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "NC",
            "license": "HC5389",
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": "NC",
            "license": "HC5389",
            "primary": false
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "NC",
            "license": "HC5389",
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "NC",
            "license": "HC5389",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NC",
            "license": "HC5389",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "HC5389",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hope Mills, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2020; 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.