BLASTOFF ADULT CARE HOME
NPI 1265223143
Custodial Care Facility - Adult Care Home in Fayetteville, NC

Q: What is Blastoff Adult Care Home's NPI number?

The NPI number for Blastoff Adult Care Home is 1265223143. It was assigned to this organization in the NPPES registry on May 13, 2025.

Q: What is Blastoff Adult Care Home's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

Active since May 13, 2025

1114 HOPE MILLS RD, FAYETTEVILLE, NC 28304(910) 303-1702 Get Directions Write a Review

NPPES record last updated: May 13, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Blastoff Adult Care Home NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BLASTOFF ADULT CARE HOME (NPI 1265223143) is a healthcare organization registered as an adult care home in Fayetteville, North Carolina and active in the NPI registry since May 2025. The organization lists Kim Landry, Administrator, as its authorized official.

NPPES Registry Identity

NPI1265223143

Entity TypeOrganization

Primary Taxonomy311ZA0620X

Legal Business NameBLASTOFF ADULT CARE HOME

Location Address1114 HOPE MILLS RDFayetteville, NC 28304

Mailing Address1114 Hope Mills RdFayetteville, NC 28304-4247 · (910) 303-1702

Phone(910) 303-1702

Organization SubpartNo

Authorized OfficialKim LandryAdministrator · (910) 303-1702

Enumeration DateMay 13, 2025

NPPES CertifiedMay 13, 2025

✔ NPI 1265223143 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities

Taxonomy Code311ZA0620X

Definition

A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.

1114 HOPE MILLS RD, Fayetteville, NC 28304

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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BLAST-OFF DAY PROGRAM

In Home Supportive Care

1114 HOPE MILLS RD
FAYETTEVILLE, NC 28304

Cumberland County (910) 303-1702

BLASTOFF ADULT CARE HOME

Custodial Care Facility (Adult Care Home)

1114 HOPE MILLS RD
FAYETTEVILLE, NC 28304

Cumberland County (910) 303-1702

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Blastoff Adult Care Home's NPI number?

The NPI number for Blastoff Adult Care Home is 1265223143. It was assigned to this organization in the NPPES registry on May 13, 2025.

Where is Blastoff Adult Care Home located?

Blastoff Adult Care Home is located at 1114 Hope Mills Rd, Fayetteville, NC 28304. The listed phone number is (910) 303-1702.

What is Blastoff Adult Care Home's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

When was this NPI record last updated?

The NPPES record for Blastoff Adult Care Home was last updated on May 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.