PROFESSONAL FAMILY CARE SERVICES, INC


Address: 1012 Pamalee Dr, Fayetteville, NC 28303
Phone: 9104850085

PROFESSONAL FAMILY CARE SERVICES, INC (NPI# 1871627919) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1871627919
Entity Type Organization
Organization Name PROFESSONAL FAMILY CARE SERVICES, INC
Practice Address 1012 Pamalee Dr
Fayetteville
NC 28303
Mailing Address 1012 Pamalee Drive
Fayetteville
NC 28303-4678
Practice Telephone 9104850085
Practice Fax Number 9104850334
Mailing Telephone 9104850085
Mailing Fax Number 9104850334
Enumeration Date 2007-03-14
Last Update Date 2018-06-14
Authorized Official Name MR. BENSON OTOVO (EXECUTIVE DIRECTOR)
Authorized Official Telephone 9104850085
Authorized Official Credential MBA
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 261QD1600X Clinic/Center
Specialization: Developmental Disabilities
Ambulatory Health Care Facilities
Y 253Z00000X In Home Supportive Care Agencies

Other Provider Identifier

State Issuer Identifier Type Code
NC 3408859 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
1016 Patrick Dr, Fayetteville, NC 283145921 9104850085
122 Orchard Crest Cir, Sanford, NC 273321695 9104850085
19 Susie Cir, Cameron, NC 283266596 9104850085

Office Location

Street Address 1012 PAMALEE DR
City FAYETTEVILLE
State NC
Zip Code 28303

Providers in the same location

NPI Name Taxonomy Address Enumeration
1396254702 Miles 2 Wisdom LLC Counselor 1012 Pamalee Dr, Fayetteville, NC 28303-3833 2017-09-28
1427178581 Professional Family Care Services, Inc. Case Management 1012 Pamalee Dr, Fayetteville, NC 28303-3833 2007-03-30
1841314200 Professional Family Care Services, Inc. Case Management 1012 Pamalee Dr, Fayetteville, NC 28303-3833 2007-03-19
1306970454 Professional Family Care Services, Inc Case Management 1012 Pamalee Dr, Fayetteville, NC 28303-3833 2007-03-14
1215061361 Professional Family Care Services, Inc Home Health 1012 Pamalee Dr, Fayetteville, NC 28303-3833 2007-03-14
1124152277 Professional Family Care Services, Inc Home Health 1012 Pamalee Dr, Fayetteville, NC 28303-3833 2007-03-14

Providers in the same zip code

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 Information

Taxonomy Code 253Z00000X
Grouping Agencies
Classification In Home Supportive Care

Taxonomy Definition

An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.
Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1487252219 Tera Campbell In Home Supportive Care 159 Dortmund Dr, Fayetteville, OH 45118-9406 2020-10-14
1568077485 Pmp Home Care Agency Inc In Home Supportive Care 5329 Yadkin Rd Ste B, Fayetteville, NC 28303-3254 2020-09-09
1609481571 Valley Care LLC In Home Supportive Care 2978 Cumberland Rd Ste 102, Fayetteville, NC 28306-2373 2020-09-08
1184236564 Health & Home Services, Inc. In Home Supportive Care 2411 Robeson Street, Suite 100, Fayetteville, NC 28305-5577 2020-08-18
1609487487 Living Private Home Care, LLC In Home Supportive Care 101 Devant St Ste 105a, Fayetteville, GA 30214-2711 2020-08-13
1518576289 New Revelation Home Care LLC In Home Supportive Care 1500 Bragg Blvd Ste 104, Fayetteville, NC 28301-4289 2020-07-28
1063038792 Dianna Marie Anderson In Home Supportive Care 101 Old Sandy Creek Rd Ste B, Fayetteville, GA 30214-4546 2020-06-18
1487279485 A Clear Look Coaching Agency, LLC In Home Supportive Care 4582 Cumberland Rd Ste 104, Fayetteville, NC 28306-2416 2020-06-15
1679198899 A Clear Look Coaching Agency, LLC In Home Supportive Care 910 Hay St, Fayetteville, NC 28305-5314 2020-06-12
1356965164 Kedra Daniel In Home Supportive Care 435 Brenda Ln, Fayetteville, GA 30214-1505 2020-06-08
Find all providers in FAYETTEVILLE

Competitor

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City FAYETTEVILLE
Zip Code 28303

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Dataset Information

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.

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