NPIMap

Organization Active NPI

Elliott & Hicks Assisted Care Agency

  • Home Health Aide
  • Fayetteville, NC
National Provider Identifier
1841906708
Registry record updated Jan 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
Legal business name
ELLIOTT & HICKS ASSISTED CARE AGENCY
Practice address
1501 Hope Mills Rd Ste a
Fayetteville, NC 28304-4220
Phone
(910) 978-1268
NPI assigned
Jan 24, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2023

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

Authorized official

Name
Jaquana Lentrice HicksNPI 1114643335
Title
Owner
Phone
(910) 978-1268

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health AideGroup: 193400000X SINGLE SPECIALTY GROUP 374U00000X Primary

Addresses

Primary practice location

1501 Hope Mills Rd Ste a
Fayetteville, NC 28304-4220

Mailing address

1501 Hope Mills Rd Ste a
Fayetteville, NC 28304-4220
Phone (910) 978-1268

National Provider Directory

National Provider Directory

Locations

1501 Hope Mills Rd
Ste A
Fayetteville, NC 28304
Phone (910) 978-1268

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1674518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674691200000",
    "number": "1841906708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 HOPE MILLS RD STE A",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283044220",
            "telephone_number": "910-978-1268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 HOPE MILLS RD STE A",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283044220",
            "telephone_number": "910-978-1268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLIOTT & HICKS ASSISTED CARE AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-24",
        "last_updated": "2023-01-26",
        "certification_date": "2023-01-26",
        "status": "A",
        "authorized_official_last_name": "HICKS",
        "authorized_official_first_name": "JAQUANA",
        "authorized_official_middle_name": "LENTRICE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-978-1268"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Home Health Aide",
            "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 Jan 26, 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.

Verify at the official NPI Registry.