Fayetteville NC Homecare LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

HC4695 Issued in NC

Legal business name

FAYETTEVILLE NC HOMECARE LLC

Doing business as

Visiting Angels- Fayetteville, NC

Practice address

230 Winslow St
Fayetteville, NC 28301-5516

Phone

(910) 500-6955

Fax

(910) 500-6956

NPI assigned

Jun 20, 2018

Last updated

Feb 2, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. William Matthew Gore

Title

Owner/Director

Phone

(910) 500-6955

Specialties & licenses 2

Addresses

Other names 1

• Visiting Angels- Fayetteville, NC Doing business as

Locations

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

{
    "created_epoch": "1529452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769990400000",
    "number": "1679067854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 WINSLOW ST",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283015516",
            "telephone_number": "910-500-6955",
            "fax_number": "910-500-6956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 WINSLOW ST",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283015516",
            "telephone_number": "910-500-6955",
            "fax_number": "910-500-6956"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Pavilion Way # E-2",
            "address_purpose": "LOCATION",
            "city": "Southern Pines",
            "state": "NC",
            "postal_code": "283874559",
            "country_code": "US",
            "telephone_number": "910-500-6955",
            "fax_number": "910-500-6956",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FAYETTEVILLE NC HOMECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-20",
        "last_updated": "2026-02-02",
        "certification_date": "2026-02-02",
        "status": "A",
        "authorized_official_last_name": "GORE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "910-500-6955",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "NC",
            "license": "HC4695",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NC",
            "license": "HC4695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Visiting Angels- Fayetteville, NC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• 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 Feb 2, 2026; 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.