NPIMap

Organization Active NPI

TBH Home Healthcare

  • Home Health Agency
  • Fayetteville, NC
National Provider Identifier
1982208575
Registry record updated Dec 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
TBH HOME HEALTHCARE
Practice address
294 Murray Fork Dr
Fayetteville, NC 28314-0901
Phone
(910) 551-3562
NPI assigned
Nov 24, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2020

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

Authorized official

Name
Tylehya Thomas
Title
Financial Officer
Phone
(910) 551-3562

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
In Home Supportive Care Agency 253Z00000X
Respite Care 385H00000X

Addresses

Primary practice location

294 Murray Fork Dr
Fayetteville, NC 28314-0901

Mailing address

294 Murray Fork Dr # 402
Fayetteville, NC 28314-0901
Phone (105) 513-5629

Other identifiers 1

IdentifierTypeStateIssuer
1902363286MedicaidNC

Other names 1

  • tbh home healthcare Other name

National Provider Directory

National Provider Directory
Tax ID family
TBH Home Healthcare2 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.

NPI Registry JSON

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

{
    "created_epoch": "1606176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607644800000",
    "number": "1982208575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "294 MURRAY FORK DR # 402",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283140901",
            "telephone_number": "105-513-5629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "294 MURRAY FORK DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283140901",
            "telephone_number": "910-551-3562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TBH HOME HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-24",
        "last_updated": "2020-12-11",
        "certification_date": "2020-12-11",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "TYLEHYA",
        "authorized_official_title_or_position": "FINANCIAL OFFICER",
        "authorized_official_telephone_number": "910-551-3562"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1902363286",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "tbh home healthcare",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "tbh home healthcare",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Dec 11, 2020; 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.