NPIMap

Organization Active NPI

New Life Home Care

  • Home Health Agency
  • Fayetteville, NC
National Provider Identifier
1679809222
Registry record updated Dec 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
NEW LIFE HOME CARE
Practice address
109 Green St
Suite 205
Fayetteville, NC 28301-5061
Phone
(910) 223-5347
Fax
(910) 223-5348
NPI assigned
Nov 2, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2011

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

Authorized official

Name
Teara Johnson
Title
Director
Phone
(910) 237-5042

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

109 Green St
Suite 205
Fayetteville, NC 28301-5061

Mailing address

109 Green St
Suite 205
Fayetteville, NC 28301-5061
Phone (910) 223-5347

National Provider Directory

National Provider Directory

Locations

109 Green St
Ste 205
Fayetteville, NC 28301
Phone (910) 223-5347

NPI Registry JSON

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

{
    "created_epoch": "1257120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323820800000",
    "number": "1679809222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 GREEN ST",
            "address_2": "SUITE 205",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283015061",
            "telephone_number": "910-223-5347",
            "fax_number": "910-223-5348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 GREEN ST",
            "address_2": "SUITE 205",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283015061",
            "telephone_number": "910-223-5347",
            "fax_number": "910-223-5348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW LIFE HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-02",
        "last_updated": "2011-12-14",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "TEARA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "910-237-5042"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Dec 14, 2011; 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.