NPI 1194523001

Tara Powell-Blackwell

Practitioner In Home Supportive Care Agency Fayetteville, NC

Practice location

Address: 111 Lamon St STE 124, Fayetteville, NC 28301-4917
Phone: (910) 286-5912

Registered specialties (6)

In Home Supportive Care Agency Primary

Agencies Taxonomy 253Z00000X Licence HC7793 (NC)

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Home Delivered Meals

Suppliers Taxonomy 332U00000X Licence HC7793 (NC)

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Non-emergency Medical Transport (VAN)

Transportation Services Taxonomy 343900000X Licence HC7793 (NC)

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Adult Companion

Nursing Service Related Providers Taxonomy 372600000X Licence HC7793 (NC)

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Home Health Aide

Nursing Service Related Providers Taxonomy 374U00000X Licence HC7793 (NC)

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Respite Care

Respite Care Facility Taxonomy 385H00000X Licence HC7793 (NC)

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Registry record

NPI: 1194523001
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Mar 2025
Record last updated: 7 Mar 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.