NPI 1235777988 · live from the CMS NPI Registry
A Great Choice For Home Care, INC.
In Home Supportive Care in Fayetteville, NC. National Provider Identifier 1235777988, active.
NPI record
| NPI | 1235777988 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | In Home Supportive Care 253Z00000X |
| Practice location | 1671 Wellons Dr, Fayetteville, NC 28304 |
| Practice phone | 919-396-1222 |
| Mailing address | 626 Mabel St, Youngstown, OH 44502 |
| Enumerated | December 12, 2019 |
| Last updated | January 30, 2020 |
| Authorized official | Dinez Baker, President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Home Health Aide | 374U00000X | — |
| In Home Supportive Care primary | 253Z00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.