Active NPI
Barbara King Home Agency Inc
- In Home Supportive Care Agency
- Fayetteville, NC
National Provider Identifier
1871839332
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- License
- HC4613
- Legal business name
- BARBARA KING HOME AGENCY INC
- Practice address
- 2932 Breezewood Ave Ste 103
Fayetteville, NC 28303-5455 - Phone
- (910) 354-5459
- Fax
- (910) 304-6787
- NPI assigned
- Jan 2, 2013
- Last updated
- Sep 27, 2022
- 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
- Locksley Lisa McFadden, MD
- Title
- Adminstrator
- Phone
- (910) 988-3541
Specialties & licenses 11
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | HC4613 | NC | |
| Community Based Hospice Care Agency | 251G00000X | NU | ||
| Rural Acute Care Hospital | 282NR1301X | HC4613 | NC | |
| Health Maintenance Organization | 302R00000X | HC4613 | NC | |
| Clinical Psychologist | 103TC0700X | HC4613 | NC | |
| Child Mental Illness Respite Care | 385HR2055X | NU | ||
| Student in an Organized Health Care Education/Training Program | 390200000X | HC4613 | NC | |
| Contractor | 171W00000X | HC4613 | NC | |
| Foster Care Agency | 253J00000X | HC4613 | NC | |
| Mental Health Occupational Therapist | 225XM0800X | HC4613 | NC | |
| In Home Supportive Care Agency | 253Z00000X | HC4613 | NC | Primary |
Addresses
Primary practice location
2932 Breezewood Ave Ste 103
Fayetteville, NC 28303-5455
Mailing address
2932 Breezewood Ave Ste 103
Fayetteville, NC 28303-5455
Phone (910) 354-5459
Other identifiers 12
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 460910901 | Medicaid | NC | |
| 460910901 | Other | NC | NORTH CAROLINA DIVISION OF AGING AND ADULT SERVICES |
| 460910901 | Other | NC | CAP DA |
| 460910901 | Other | NC | PRIVATE PAY |
| 460910901 | Other | NC | CAP PROGRAMS |
| 460910901 | Other | NC | MENTAL HEALTH |
| 460910901 | Other | NC | MEDICARE |
| 460910901 | Other | NC | BLUE CROSS BLUE SHIELD N.C. |
| 460910901 | Other | NC | VA |
| 460910901 | Other | NC | MEDICARD |
| 460910901 | Other | NC | CAP C |
| 460910901 | Other | NC | CAP CHOICE |
National Provider Directory
National Provider Directory- Tax ID family
- Barbara King Home Agency Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- In Home Supportive Care Agency
- Fayetteville, NC
- NPI 1063050219
Locations
204 Sunny Ave
Dunn, NC 28334
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Home Health Agency
- Dunn, NC
- NPI 1760856058
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1357084800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1664236800000",
"number": "1871839332",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2932 BREEZEWOOD AVE STE 103",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283035455",
"telephone_number": "910-354-5459",
"fax_number": "910-304-6787"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2932 BREEZEWOOD AVE STE 103",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283035455",
"telephone_number": "910-354-5459",
"fax_number": "910-304-6787"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BARBARA KING HOME AGENCY INC",
"organizational_subpart": "NO",
"enumeration_date": "2013-01-02",
"last_updated": "2022-09-27",
"certification_date": "2022-09-27",
"status": "A",
"authorized_official_last_name": "MCFADDEN",
"authorized_official_first_name": "LOCKSLEY",
"authorized_official_middle_name": "LISA",
"authorized_official_title_or_position": "ADMINSTRATOR",
"authorized_official_telephone_number": "910-988-3541",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NC",
"license": "HC4613",
"primary": false
},
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "282NR1301X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital, Rural",
"state": "NC",
"license": "HC4613",
"primary": false
},
{
"code": "302R00000X",
"taxonomy_group": "",
"desc": "Health Maintenance Organization",
"state": "NC",
"license": "HC4613",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NC",
"license": "HC4613",
"primary": false
},
{
"code": "385HR2055X",
"taxonomy_group": "",
"desc": "Respite Care, Respite Care, Mental Illness, Child",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NC",
"license": "HC4613",
"primary": false
},
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "NC",
"license": "HC4613",
"primary": false
},
{
"code": "253J00000X",
"taxonomy_group": "",
"desc": "Foster Care Agency",
"state": "NC",
"license": "HC4613",
"primary": false
},
{
"code": "225XM0800X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Mental Health",
"state": "NC",
"license": "HC4613",
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "NC",
"license": "HC4613",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "460910901",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NORTH CAROLINA DIVISION OF AGING AND ADULT SERVICES",
"identifier": "460910901",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAP DA",
"identifier": "460910901",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRIVATE PAY",
"identifier": "460910901",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAP PROGRAMS",
"identifier": "460910901",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MENTAL HEALTH",
"identifier": "460910901",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "460910901",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD N.C.",
"identifier": "460910901",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VA",
"identifier": "460910901",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARD",
"identifier": "460910901",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAP C",
"identifier": "460910901",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAP CHOICE",
"identifier": "460910901",
"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 Sep 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.