MCDUFFIE PERSONAL CARE SERVICES INC (NPI# 1477604288) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477604288 |
| Entity Type | Organization |
| Organization Name | MCDUFFIE PERSONAL CARE SERVICES INC |
| Practice Address |
1826 Wendover Dr Fayetteville NC 28304-1426 |
| Practice Telephone | 9104866118 |
| Practice Fax Number | 9104255450 |
| Mailing Telephone | 9104866118 |
| Mailing Fax Number | 9104255450 |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. BARBARA J BROWN (ADMINISTRATOR) |
| Authorized Official Telephone | 9104866118 |
| Authorized Official Credential | NURSE |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
MHL026659 | NC | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 3409131 | 05 | |
| NC | 7804538 | 05 |
| Street Address |
1826 WENDOVER DR |
| City | FAYETTEVILLE |
| State | NC |
| Zip Code | 28304-1426 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598301061 | Coast To Coast Bilingual Counseling | Social Worker | 910 Hope Mills Road, Fayetteville, NC 28304 | 2019-11-20 |
| 1811530561 | Frances L. Hurst | Technician | 6732 Carloway Dr, Fayetteville, NC 28304 | 2019-10-25 |
| 1538717764 | Rose Mary A O'conner | Technician | 3530 Madison Ave, Fayetteville, NC 28304 | 2019-08-30 |
| 1932756087 | Sally Frances Jones | Technician | 2053 Mango Circle, Fayetteville, NC 28304 | 2019-08-23 |
| 1326528803 | Jeneen Yvette Townsend | Counselor | 2671 Adams Lake Dr Apt F, Fayetteville, NC 28304 | 2018-08-15 |
| 1780179580 | Ma Cornelia Villavicencio Leano | Nurse Practitioner | 3081 Stone Carriage Cir Apt Z, Fayetteville, NC 28304 | 2018-06-25 |
| 1861986267 | Pediatric After Hours Care of Fayetteville | Pediatrics | 556 Sandhurst Drive, Fayetteville, NC 28304 | 2018-06-19 |
| 1700386133 | Good Night Medical of Ohio, LLC | Durable Medical Equipment & Medical Supplies | 405 Owen Dr Ste 202, Fayetteville, NC 28304 | 2018-02-12 |
| 1003321365 | Valleygate Dental Surgery Center of Fayetteville, LLC | Dentist | 2038 Litho Place, Fayetteville, NC 28304 | 2017-12-08 |
| 1871004663 | The Salt Project | Marriage & Family Therapist | 1611-b Owen Dr., Fayetteville, NC 28304 | 2017-10-19 |
| Find all providers in zip 28304 | ||||
| Taxonomy Code | 311ZA0620X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| Specialization | Adult Care Home |
| A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790299717 | Just One Touch Homes | Custodial Care Facility | 2320 Rustic Trl, Fayetteville, NC 28306-3238 | 2017-11-29 |
| 1982063327 | Subtle Living, LLC | Custodial Care Facility | 183 Bonney Ln, Fayetteville, NC 28306-3735 | 2016-02-13 |
| 1164824322 | Sure Care | Custodial Care Facility | 110 Sylvan Loop, Fayetteville, GA 30214-7439 | 2014-09-18 |
| 1376978155 | Exton LLC | Custodial Care Facility | 220 Price Rd, Fayetteville, GA 30215-2019 | 2013-09-11 |
| 1598070708 | Puretouch Wellness Haven,inc | Custodial Care Facility | 110 Chandler Way, Fayetteville, GA 30215-2122 | 2010-08-11 |
| 1679693600 | Mcleod Family Care Center of Fayetteville | Custodial Care Facility | 248 Livermore Dr, Fayetteville, NC 28314-8616 | 2007-03-31 |
| 1700906070 | Glenn Krystle Manor | Custodial Care Facility | 220 Davis St, Fayetteville, NC 28305-5346 | 2007-03-30 |
| 1124153382 | Mclean Family Care Home | Custodial Care Facility | 6487 Pleasant Rd, Fayetteville, NC 28314-0552 | 2007-02-21 |
| 1699847541 | Sophia B Pierce & Associates Inc | Custodial Care Facility | 611 Country Club Drive, Fayetteville, NC 28301 | 2006-11-15 |
| 1316584782 | Ga Hc Reit II Fayetteville Alf Trs Sub, LLC | Custodial Care Facility | 1164 71st School Rd, Fayetteville, NC 28314-2817 | 2019-12-04 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 28304 |
Please comment or provide details below to improve the information on MCDUFFIE PERSONAL CARE SERVICES INC.
| 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.