Organization Active NPI

Clear Care Home Care Agency

  • In Home Supportive Care Agency
  • Fayetteville, NC
National Provider Identifier
1679237259
Registry record updated Oct 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
CLEAR CARE HOME CARE AGENCY
Practice address
704B Festus Ave Ste 101
Fayetteville, NC 28303-3466
Phone
(910) 322-9301
NPI assigned
Oct 28, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2021

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

Authorized official

Name
Craig Johnson
Title
Owner
Phone
(910) 322-9301

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

704B Festus Ave Ste 101
Fayetteville, NC 28303-3466

Mailing address

704B Festus Ave Ste 101
Fayetteville, NC 28303-3466
Phone (910) 322-9301

National Provider Directory

National Provider Directory

Locations

704B Festus Ave
Ste 101
Fayetteville, NC 28303
Phone (910) 322-9301

NPI Registry JSON

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

{
    "created_epoch": "1635379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635379200000",
    "number": "1679237259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704B FESTUS AVE STE 101",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283033466",
            "telephone_number": "910-322-9301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704B FESTUS AVE STE 101",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283033466",
            "telephone_number": "910-322-9301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEAR CARE HOME CARE AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-28",
        "last_updated": "2021-10-28",
        "certification_date": "2021-10-28",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-322-9301"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Oct 28, 2021; 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.