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NPI 1184775579ActiveOrganization· Supports Brokerage· Fayetteville, NC

Supports Brokerage in Fayetteville, North Carolina, registered in NPPES in January 2007. The authorized official on file is Shanicha Lynette McNeil, Owner.

Overview

NPI1184775579
StatusActive
Entity typeOrganization
NPI issuedJan 14, 2007
Last updated in NPPESAug 22, 2020

Specialties and licenses

TaxonomyCodeLicenseState
Supports Brokerage Primary251X00000X—NC

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Supports Brokerage providers in Fayetteville

All Supports Brokerage providers in North Carolina