Shanicha McNeil

Primary specialty

Home Health AideTaxonomy code 374U00000X

Practice address

2007 Ramsey St
Fayetteville, NC 28301-4163

Phone

(910) 322-4506

NPI assigned

May 11, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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

• Authentic Love Rose LLC

  • In Home Supportive Care Agency
  • Fayetteville, NC
  • NPI 1104656511
  NPD

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721088000000",
    "number": "1689100554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 MANN ST",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283016237",
            "telephone_number": "910-322-4506",
            "fax_number": "910-322-4506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2007 RAMSEY ST",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283014163",
            "telephone_number": "910-322-4506"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "505 Mann St",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283016237",
            "country_code": "US",
            "telephone_number": "910-322-4506",
            "fax_number": "910-322-4506",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCNEIL",
        "first_name": "SHANICHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-11",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Samuel McNaughten, CPO CERT PROSTH/ORTH
• Courtney Lashawn McNeil Taylor
• Joy Nicole McNeil, PHD, LCMHC, NCC
• Kametria Tashai McNeil
• Kennedy McNeil
• Alisan McNeill, BT
• Byron Lawrence McNeill Jr., DDS
• Cynetra McNeill
• Gwendolyn Levister McNeill, LPC
• Jamesha McNeill

• Home Health Aide in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Home Health Aide in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2024; 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.