1. Home
  2. Directory
  3. North Carolina
  4. Hope Mills
  5. Home Health
  6. NPI Profile

GREEN BERET HEALTHCARE AGENCY, INC
NPI 1376006130
Home Health in Hope Mills, NC

Active since April 09, 2019
1014 HARVEST GROVE CT, HOPE MILLS, NC 28348(910) 364-5219(866) 704-9129 Get Directions Write a Review

NPPES record last updated: April 9, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Green Beret Healthcare Agency, Inc NPPES

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

GREEN BERET HEALTHCARE AGENCY, INC (NPI 1376006130) is a healthcare organization registered as a home health in Hope Mills, North Carolina and active in the NPI registry since April 2019. The organization lists Timmy Mack, Director, as its authorized official.

NPPES Registry Identity

NPI1376006130
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameGREEN BERET HEALTHCARE AGENCY, INC
Location Address1014 HARVEST GROVE CTHope Mills, NC 28348-9272
Mailing Address1014 Harvest Grove CtHope Mills, NC 28348-9272 · (910) 364-5219 · Fax (866) 704-9129
Phone(910) 364-5219
Fax(866) 704-9129
Organization SubpartNo
Authorized OfficialTimmy MackDirector · (910) 364-5219
Enumeration DateApril 9, 2019
✔ NPI 1376006130 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
Also ListedRespite Care · Respite Care, Intellectual and/or Developmental DisabilitiesTaxonomy 385HR2060X
1014 HARVEST GROVE CT, Hope Mills, NC 28348
Open in Google Maps ↗

Other Identifiers 1

Medicaid6602223NC

Other Providers at the Same Location NPPES

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

LISA DANIELLE MACK
Registered Nurse (Home Health)
1014 HARVEST GROVE CT
HOPE MILLS, NC 28348
Cumberland County (910) 364-5219

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 Green Beret Healthcare Agency, Inc's NPI number?

The NPI number for Green Beret Healthcare Agency, Inc is 1376006130. It was assigned to this organization in the NPPES registry on April 9, 2019.

Where is Green Beret Healthcare Agency, Inc located?

Green Beret Healthcare Agency, Inc is located at 1014 Harvest Grove Ct, Hope Mills, NC 28348. The listed phone number is (910) 364-5219.

What is Green Beret Healthcare Agency, Inc's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

When was this NPI record last updated?

The NPPES record for Green Beret Healthcare Agency, Inc was last updated on April 9, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.