Organization Active NPI

Barbara King Home Agency Inc

  • In Home Supportive Care Agency
  • Fayetteville, NC
National Provider Identifier
1871839332
Registry record updated Sep 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
HC4613 Issued in NC
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, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2022

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
460910901MedicaidNC
460910901OtherNCNORTH CAROLINA DIVISION OF AGING AND ADULT SERVICES
460910901OtherNCCAP DA
460910901OtherNCPRIVATE PAY
460910901OtherNCCAP PROGRAMS
460910901OtherNCMENTAL HEALTH
460910901OtherNCMEDICARE
460910901OtherNCBLUE CROSS BLUE SHIELD N.C.
460910901OtherNCVA
460910901OtherNCMEDICARD
460910901OtherNCCAP C
460910901OtherNCCAP CHOICE

National Provider Directory

National Provider Directory
Tax ID family
Barbara King Home Agency Inc2 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.

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.

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.

Verify at the official NPI Registry.