MEDICARE: CHRYSANDRA ROGERS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163WH0200X	Home Health Registered Nurse	HC6536	NC
2	3747P1801X	Personal Care Attendant	HC6536	NC
3	3747A0650X	Attendant Care Provider	HC6536	NC

General Provider Information

NPI Number	:	1629728951
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRYSANDRA ROGERS

Provider Business Mailing Address
First Line	:	110 DYSART PL APT J
Second Line	:
City	:	FAYETTEVILLE
State	:	NC
Zip	:	28314-4300
Country	:	US
Telephone Number	:	910-929-4687
Fax Number	:

Provider Business Practice Location Address
First Line	:	429 PERSON ST STE 6
Second Line	:
City	:	FAYETTEVILLE
State	:	NC
Zip	:	28301-5737
Country	:	US
Telephone Number	:	910-835-5464
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/28/2022
Last Update Date	:	03/28/2022

Similar Medicare Providers

1396689816 — ACADEMY1
Practice Location Address:

429 PERSON ST
FAYETTEVILLE, NC
28301-5737

Practice Phone: 910-401-8797
Practice Fax:

1851501001 — THE ROSSBERRY HOME OF FAIRMONT, INC.
Practice Location Address:

429 PERSON ST
FAYETTEVILLE, NC
28301-5737

Practice Phone: 910-483-8841
Practice Fax: 910-483-9198

1487865929 — THE ROSSBERRY HOME OF FAIRMONT, INC.
Practice Location Address:

429 PERSON ST
FAYETTEVILLE, NC
28301-5737

Practice Phone: 910-483-8841
Practice Fax: 910-483-9198

1790167690 — WANDA LARRIE NAYEEMA ARCHIE-RAHEEM CMT
Practice Location Address:

429 PERSON ST STE 1-A
FAYETTEVILLE, NC
28301-5737

Practice Phone: 803-873-7388
Practice Fax: 888-965-9470

1649719949 — WANDA'S HEALTH MASSAGE THERAPY
Practice Location Address:

429 PERSON ST STE 1-A
FAYETTEVILLE, NC
28301-5737

Practice Phone: 910-632-0330
Practice Fax: 888-965-9470

1184364531 — QNC HOME CARE SERVICES LLC
Practice Location Address:

429 PERSON ST STE 6
FAYETTEVILLE, NC
28301-5737

Practice Phone: 910-835-5464
Practice Fax:

Directions to “ CHRYSANDRA ROGERS ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.