CENTRAL CAROLINA HOME HEALTHCARE (NPI# 1265728869) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265728869 |
| Entity Type | Organization |
| Organization Name | CENTRAL CAROLINA HOME HEALTHCARE |
| Practice Address |
111 Lamon St Suite 119 Fayetteville NC 28301-4901 |
| Mailing Address |
Po Box 11065 Fayetteville NC 28303-2799 |
| Practice Telephone | 9109203921 |
| Practice Fax Number | 8004864319 |
| Mailing Telephone | 9109203921 |
| Mailing Fax Number | 8004864319 |
| Enumeration Date | 2011-06-22 |
| Last Update Date | 2013-02-24 |
| Authorized Official Name | MRS. URSULA TOMIKA WHITE, (CEO,CNO) |
| Authorized Official Telephone | 9109203921 |
| Authorized Official Credential | RN, BSN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | HC4424 | NC | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 6602287 | 05 | |
| NC | 3419172 | 05 |
| Street Address |
111 LAMON ST SUITE 119 |
| City | FAYETTEVILLE |
| State | NC |
| Zip Code | 28301-4901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255321592 | Doris Ann Moore-russell | Social Worker | 111 Lamon St, Suite 212, Fayetteville, NC 28301-4957 | 2005-10-27 |
| 1912457060 | William Willis | Counselor | 111 Lamon St, Suite 103, Fayetteville, NC 28301-4901 | 2016-10-12 |
| 1548710023 | Elite Care | Case Management | 111 Lamon St, Fayetteville, NC 28301 | 2016-10-10 |
| 1003223066 | Chapmans Management Company | Psychiatric Residential Treatment Facility | 111 Lamon St, Fayetteville, NC 28301-4901 | 2014-07-22 |
| 1750716445 | Elite Care Service Inc | Community Based Residential Treatment Facility, Mental Illness | 111 Lamon St, 103, Fayetteville, NC 28301-4901 | 2013-09-12 |
| 1932534625 | Elite Care Service Inc. | Counselor | 111 Lamon St, 103, Fayetteville, NC 28301-4901 | 2013-09-12 |
| 1841625530 | Elite Care Service Inc. | Psychologist | 111 Lamon St, 103, Fayetteville, NC 28301-4901 | 2013-09-12 |
| 1508290420 | Elite Adolescent Care, Inc. | Counselor | 111 Lamon St, 103, Fayetteville, NC 28301-4901 | 2013-08-27 |
| 1073853313 | Drako Munn | Technician | 111 Lamon St, Suite 101, Fayetteville, NC 28301-4901 | 2013-02-24 |
| 1497041032 | J J Compassionate Home Care | Preferred Provider Organization | 111 Lamon St, Suite 207, Fayetteville, NC 28301-4901 | 2011-06-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134726219 | Jenna Michelle Odneal | Behavior Technician | 16915 Liverpool Pkwy. Suite B., Cornelius, NC 28301 | 2020-10-02 |
| 1790390094 | Jessica Shellman | Counselor | 408 Person St. Ste 103, Fayetteville, NC 28301 | 2020-09-14 |
| 1487205951 | Martha K Richardson | Technician | 720 Teachers Dr, Fayetteville, NC 28301 | 2019-09-25 |
| 1013568161 | Angela Rena Locklear | Counselor | 211 Lamon St, Fayeteville, NC 28301 | 2019-09-20 |
| 1619535747 | Teresa Wilson | Contractor | 1417 Canyionland Ct, Apt 209, Fayetteville, NC 28301 | 2019-06-04 |
| 1912461815 | Catherine Stevenson Nwogalanya | Community Health Worker | 1103 Hillsboro St., Fayetteville, NC 28301 | 2019-01-24 |
| 1811443187 | Michael Carroll | Counselor | 308 Peterson Place, Fayetteville, NC 28301 | 2016-08-28 |
| 1023499886 | Latifa Fedai | Nurse Practitioner | 380 Person Street, Fayettevill, NC 28301 | 2015-06-17 |
| 1265868939 | Aci Support Specialists | Community/Behavioral Health | 1725 Venna Drive, Fayetteville, NC 28301 | 2013-09-25 |
| 1871929547 | Aci Support Specialists | Day Training, Developmentally Disabled Services | 2820 Copenhagen Drive, Fayetteville, NC 28301 | 2013-09-25 |
| Find all providers in zip 28301 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073112645 | Brothers Helping Hands of Nc | Home Health | 347 St Thomas Rd, Fayetteville, NC 28311-2966 | 2020-10-23 |
| 1538779350 | Beas Private Home Care | Home Health | 155 Handshaker Ct, Fayetteville, GA 30215-7404 | 2020-08-06 |
| 1205455367 | Felicia M Mcdonald | Home Health | 951 S Mcpherson Church Rd Ste 103b, Fayetteville, NC 28303-5383 | 2020-04-09 |
| 1487289518 | It-s About You, Inc | Home Health | 5425 Murchison Rd Ste A, Fayetteville, NC 28311-2251 | 2020-03-09 |
| 1629617691 | Our House Inc. | Home Health | 814 Hope Mills Rd Ste B, Fayetteville, NC 28304-2223 | 2019-12-23 |
| 1063050219 | Barbara King Home Agency Inc | Home Health | 108 Hay St Ste 216, Fayetteville, NC 28301-5686 | 2019-12-18 |
| 1427691500 | Pristine Care Group, LLC | Home Health | 1507 Grandview Drive, Fayetteville, NC 28314-1806 | 2019-10-22 |
| 1558911636 | Lila Huff | Home Health | 111 Lamon St Ste 114, Fayetteville, NC 28301-4917 | 2019-09-19 |
| 1043875321 | Nurturing Hearts Home Health Care Inc. | Home Health | 185 Seawright Dr, Fayetteville, GA 30215-5292 | 2019-05-02 |
| 1982184974 | Amelias Den Personal Care Home Inc | Home Health | 101 Devant St Ste 105, Fayetteville, GA 30214-2711 | 2018-08-19 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 28301 |
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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.