NPIMap

Organization Active NPI

Amazing Home Care Agency Inc

  • In Home Supportive Care Agency
  • Fayetteville, NC
National Provider Identifier
1710112032
Registry record updated May 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
123456 Issued in NC
Legal business name
AMAZING HOME CARE AGENCY INC
Practice address
1909 Bragg Blvd
102B
Fayetteville, NC 28303-4387
Phone
(910) 670-7710
Fax
(910) 822-5867
NPI assigned
May 17, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2009

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

Authorized official

Name
James E McCoy
Title
President
Phone
(910) 670-7710

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 123456 NC Primary

Addresses

Primary practice location

1909 Bragg Blvd
102B
Fayetteville, NC 28303-4387

Mailing address

1909 Bragg Blvd
102B
Fayetteville, NC 28303-4387
Phone (910) 670-7710

Other identifiers 1

IdentifierTypeStateIssuer
0000000MedicaidNC

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1242518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242518400000",
    "number": "1710112032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1909 BRAGG BLVD",
            "address_2": "102B",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283034387",
            "telephone_number": "910-670-7710",
            "fax_number": "910-822-5867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1909 BRAGG BLVD",
            "address_2": "102B",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283034387",
            "telephone_number": "910-670-7710",
            "fax_number": "910-822-5867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMAZING HOME CARE AGENCY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-17",
        "last_updated": "2009-05-17",
        "status": "A",
        "authorized_official_last_name": "MCCOY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-670-7710"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NC",
            "license": "123456",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000000",
            "state": "NC"
        }
    ],
    "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 May 17, 2009; 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.