Organization Active NPI

Sheilas Family Home Care Agency

  • In Home Supportive Care Agency
  • Fayetteville, NC
National Provider Identifier
1841528544
Registry record updated Apr 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
SHEILAS FAMILY HOME CARE AGENCY
Practice address
656 Brandermill Rd Unit 101
Fayetteville, NC 28314-7125
Phone
(910) 964-0573
NPI assigned
Nov 18, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2010

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

Authorized official

Name
Mr. Derrick Boone
Title
Ceo
Phone
(910) 964-0573

Specialties & licenses 1

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

Addresses

Primary practice location

656 Brandermill Rd Unit 101
Fayetteville, NC 28314-7125

Mailing address

656 Brandermill Rd Unit 101
Fayetteville, NC 28314-7125
Phone (910) 964-0573

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1258502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272499200000",
    "number": "1841528544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "656 BRANDERMILL RD UNIT 101",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283147125",
            "telephone_number": "910-964-0573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "656 BRANDERMILL RD UNIT 101",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283147125",
            "telephone_number": "910-964-0573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEILAS FAMILY HOME CARE AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-18",
        "last_updated": "2010-04-29",
        "status": "A",
        "authorized_official_last_name": "BOONE",
        "authorized_official_first_name": "DERRICK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "910-964-0573",
        "authorized_official_name_prefix": "Mr."
    },
    "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 Apr 29, 2010; 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.