Mid-Carolina Regional Council Aaa

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

MID-CAROLINA REGIONAL COUNCIL AAA

Practice address

6205 Raeford Rd
Fayetteville, NC 28304-2425

Phone

(919) 536-3552

Fax

(910) 323-9330

NPI assigned

Jul 21, 2025

Organization subpart

No

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

Authorized official

Name

Mrs. Samantha L. Wullenwaber

Title

Executive Director

Phone

(919) 536-3552

Specialties & licenses 1

Addresses

Other names 1

• Mid-Carolina Regional Council Doing business as

Tax ID family

Mid-Carolina Council of Governments2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Mid-Carolina Council of Governments

  • In Home Supportive Care Agency
  • Fayetteville, NC
  • NPI 1396620324
  NPD tax ID

Locations

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

{
    "created_epoch": "1753056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753056000000",
    "number": "1871485078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6205 RAEFORD RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283042425",
            "telephone_number": "919-536-3552",
            "fax_number": "910-323-9330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6205 RAEFORD RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283042425",
            "telephone_number": "919-536-3552",
            "fax_number": "910-323-9330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-CAROLINA REGIONAL COUNCIL AAA",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-21",
        "last_updated": "2025-07-21",
        "certification_date": "2025-07-21",
        "status": "A",
        "authorized_official_last_name": "WULLENWABER",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "919-536-3552",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mid-Carolina Regional Council",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michaels World
• Kristin Michaud, FNP
• Monique Michel, DO
• Rosemay Michel, DPM
• Mid-Carolina Council of Governments
• Mid-South Family Services
• Mid-State Health Systems, Inc
• Mid-State Health Systems, Inc
• Mid-State Health Systems, Inc
• Amanda Barkman Middleton, DDS

• In Home Supportive Care Agency in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• In Home Supportive Care Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2025; 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.