Organization
REIGN SUPREME HOMECARE AGENCY LLC
Active
Parent organization
REIGN SUPREME HOMECARE AGENCY LLC
Other names
Reign Supreme Homecare Agency LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
REIGN SUPREME HOMECARE AGENCY LLC
Authorized official
MRS. TAMMY LENELL MCFERRIN (OWNER)
(910) 824-4955
Entity
Organization
Contact information
Practice address
500 ANONA DR, FAYETTEVILLE, NC 28314-2918
(910) 824-4955
Mailing address
500 ANONA DR, FAYETTEVILLE, NC 28314-2918
(910) 824-4955
(910) 500-5071
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
04/08/2024
Last updated
04/08/2026
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