ST MARYS HOME CARE AGENCY (NPI# 1285711879) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285711879 |
| Entity Type | Organization |
| Organization Name | ST MARYS HOME CARE AGENCY |
| Practice Address |
3401 Village Dr Fayetteville NC 28304-4551 |
| Practice Telephone | 9104334477 |
| Practice Fax Number | 9109203179 |
| Mailing Telephone | 9104334477 |
| Mailing Fax Number | 9109203179 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2009-12-23 |
| Authorized Official Name | MRS. RASHAE N WILLIAMS (CEO) |
| Authorized Official Telephone | 9104334477 |
| Authorized Official Credential | BS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251J00000X | Nursing Care | HC2557 | NC | Agencies |
| N | 251S00000X | Community/Behavioral Health | NC | Agencies | |
| Y | 251B00000X | Case Management | 0000 | NC | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 6601100 | 05 | |
| NC | 8302206 | 05 | |
| NC | 8700445 | 05 | |
| NC | 3408108 | 05 | |
| NC | 8301378 | 05 |
| Street Address |
3401 VILLAGE DR |
| City | FAYETTEVILLE |
| State | NC |
| Zip Code | 28304-4551 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376785287 | Making Changes Management Group Inc. | Community/Behavioral Health | 3401 Village Dr, Fayetteville, NC 28304-4551 | 2009-03-24 |
| 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 | 251B00000X |
| Grouping | Agencies |
| Classification | Case Management |
| An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700499944 | Goal Digger Network LLC | Case Management | 5220 Delco St, Fayetteville, NC 28311-2332 | 2020-08-27 |
| 1437799178 | Brickhouse Management | Case Management | 2529 Raeford Rd Ste C-8, Fayetteville, NC 28305-5098 | 2020-01-10 |
| 1255828612 | Working Concepts Inc | Case Management | 110 Habersham Dr Ste 325, Fayetteville, GA 30214-1381 | 2018-04-20 |
| 1831569268 | Daybreak Case Management Services | Case Management | 110 Hunters Gln, Fayetteville, GA 30215-1914 | 2015-09-28 |
| 1073999538 | Aci Support Specialists, Inc. | Case Management | 257 Kenwood Dr, Fayetteville, NC 28311-0833 | 2015-08-07 |
| 1811323595 | Aci Support Specialists | Case Management | 1619 Winnabow Drive, Fayetteville, NC 28304 | 2013-09-25 |
| 1518393297 | Aci Support Specialists | Case Management | 2257 Spindletree Drive, Fayetteville, NC 28304 | 2013-09-25 |
| 1891121588 | Aci Support Specialists | Case Management | 2633 Gressitt Point Ln, Fayetteville, NC 28306-3555 | 2013-09-25 |
| 1568801355 | Aci Support Specialists, Inc. | Case Management | 342 Wagoner Dr, Suite 107, Fayetteville, NC 28303-4686 | 2013-06-14 |
| 1164787248 | Conceive Believe&achieve LLC | Case Management | 6380 Cliffdale Rd Unit 25032, Fayetteville, NC 28314-2970 | 2012-07-05 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 28304 |
Please comment or provide details below to improve the information on ST MARYS HOME CARE AGENCY.
| 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.