Active NPI
Apb Home Health, LLC
Doing business as APB Home Care
- In Home Supportive Care Agency
- Fayetteville, NC
National Provider Identifier
1780028399
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- APB HOME HEALTH, LLC
- Doing business as
- APB Home Care
- Practice address
- 2504 Raeford Rd Ste 106
Fayetteville, NC 28305-5135 - Phone
- (919) 963-2428
- Fax
- (919) 963-2438
- NPI assigned
- Apr 25, 2013
- Last updated
- Aug 28, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Shakisha Nicole Brewington
- Title
- Owner / Business Manager
- Phone
- (910) 442-9087
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | NU | Primary |
Addresses
Primary practice location
2504 Raeford Rd Ste 106
Fayetteville, NC 28305-5135
Mailing address
PO Box 4866
Wilmington, NC 28406-1866
Phone (919) 963-2428
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3419244 | Medicaid | NC |
Other names 1
- APB Home Care
National Provider Directory
National Provider Directory- Tax ID family
- SPC Home Health LLC
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- Fayetteville, NC
- NPI 1295064483
-
dba APB Home Care
- In Home Supportive Care Agency
- Fayetteville, NC
- NPI 1932543626
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1366848000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1693180800000",
"number": "1780028399",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4866",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284061866",
"telephone_number": "919-963-2428",
"fax_number": "919-963-2438"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2504 RAEFORD RD STE 106",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283055135",
"telephone_number": "919-963-2428",
"fax_number": "919-963-2438"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "APB HOME HEALTH, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-04-25",
"last_updated": "2023-08-28",
"certification_date": "2023-08-28",
"status": "A",
"authorized_official_last_name": "BREWINGTON",
"authorized_official_first_name": "SHAKISHA",
"authorized_official_middle_name": "NICOLE",
"authorized_official_title_or_position": "OWNER / BUSINESS MANAGER",
"authorized_official_telephone_number": "910-442-9087",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3419244",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "APB Home Care",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Aug 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.