PROFESSIONAL CARE SERVICES, INC. (NPI# 1043344914) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043344914 |
| Entity Type | Organization |
| Organization Name | PROFESSIONAL CARE SERVICES, INC. |
| Practice Address |
517 Southwick Dr. Fayetteville NC 28303 |
| Mailing Address |
Po Box 26150 Fayetteville NC 28314 |
| Practice Telephone | 9109773353 |
| Mailing Telephone | 9109773353 |
| Mailing Fax Number | 9108675175 |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2008-04-15 |
| Authorized Official Name | RAYNARD ESQUILIN (PRESIDENT) |
| Authorized Official Telephone | 9109773353 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251G00000X | Hospice Care, Community Based | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 3408213 | 05 |
| Street Address |
517 SOUTHWICK DR. |
| City | FAYETTEVILLE |
| State | NC |
| Zip Code | 28303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801404496 | Matthew Pace | Physician Assistant | Bldg 5-4257 Bastogne St, Fort Bragg, NC 28303 | 2020-07-20 |
| 1952920449 | Vonetta Bethea Jackson | Social Worker | 391 Wagoner Drive, Fayetteville, NC 28303 | 2020-04-14 |
| 1932746229 | Julie Harriss | Specialist/Technologist | Bldg E 4062, Canopy Lane, Fort Bragg, NC 28303 | 2019-12-05 |
| 1235780354 | Helen Delores Johnson | Technician | 261 Pierron Dr, Fayetteville, NC 28303 | 2019-09-20 |
| 1922655075 | Andrea Margaret Hutnam | Technician | 714 Shortridge Rd, Fayetteville, NC 28303 | 2019-08-23 |
| 1225695273 | Breona Lister | Dental Hygienist | 38 17 Gruber Rd, Fort Bragg, NC 28303 | 2019-05-24 |
| 1780148957 | Brian K Cox Sr. | Occupational Therapy Assistant | 5300 Ramsey St, Fayetteville, NC 28303 | 2019-01-22 |
| 1730670902 | Michael Sadtler | Counselor | 804 Stamper Rd Ste 101, Fayetteville, NC 28303 | 2018-05-23 |
| 1104320399 | Tia Porterfield | Counselor | 2018 Fort Bragg Rd Ste 112a, Fayetteville, NC 28303 | 2018-03-21 |
| 1154835577 | Jessica Bass Bosworth | Psychologist | 3415 Youngstown Dr, Fayetteville, NC 28303 | 2017-11-21 |
| Find all providers in zip 28303 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881255875 | Bayada Home Health Care, Inc. | Hospice Care, Community Based | 2550 Ravenhill Dr Ste 202, Fayetteville, NC 28303-9628 | 2019-06-21 |
| 1528485364 | Precious Hospice, LLC | Hospice Care, Community Based | 105 Habersham Dr Ste D, Fayetteville, GA 30214-7341 | 2014-03-18 |
| 1487897674 | Doctors Hospice of Georgia, Inc | Hospice Care, Community Based | 1008 Highway 54, Fayetteville, GA 30215-0000 | 2009-04-17 |
| 1477711943 | Emma Margaret Williams | Hospice Care, Community Based | 6732 Pacific Ave, Fayetteville, NC 28314-6519 | 2008-05-30 |
| 1811198641 | Washington Regional Medical Center | Hospice Care, Community Based | 325 E Longview St, Fayetteville, AR 72703-4618 | 2007-05-30 |
| 1215088323 | On-call Nursing Inc | Hospice Care, Community Based | 2557 Ravenhill Dr, Ste D-1, Fayetteville, NC 28303-9615 | 2007-01-15 |
| 1508882937 | Hospice Advantage, LLC. | Hospice Care, Community Based | 145 Howard Ln, Fayetteville, GA 30215-1848 | 2006-07-15 |
| 1528015369 | Carrolton Home Care, LLC | Hospice Care, Community Based | 2800 Breezewood Ave, Suite 100, Fayetteville, NC 28303-5286 | 2006-05-27 |
| 1588610885 | Lincoln Medical Home Health & Hospice | Hospice Care, Community Based | 1797 Wilson Pkwy, Fayetteville, TN 37334-2770 | 2006-05-26 |
| 1801893649 | First Home Health and Hospice, Inc. | Hospice Care, Community Based | 235 N Mcpherson Church Rd, Suite 210, Fayetteville, NC 28303-4403 | 2005-07-07 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 28303 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.