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APPOINTED TO PROVIDE HOME CARE AGENCY NPI 1205293313


NPI Information

NPI: 1205293313
Provider Name: APPOINTED TO PROVIDE HOME CARE AGENCY
Classification: In Home Supportive Care - 253Z00000X
Entity Type: Organization
Address:
4817 SPRUCE PEAK RD
CHARLOTTE, NC
ZIP 28278
Phone: (980) 219-3495
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APPOINTED TO PROVIDE HOME CARE AGENCY is an in home supportive care in Charlotte, NC. The provider is an In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. APPOINTED TO PROVIDE HOME CARE AGENCY NPI is 1205293313. The provider is registered as an organization entity type.

The provider's business location address is:

4817 SPRUCE PEAK RD
CHARLOTTE, NC
ZIP 28278-559
Phone: (980) 219-3495

The provider's authorized official is Sharrika A Burnett .
The authorized official title is Owner/provider and has the following contact phone number (980) 219-3495.

The enumeration date for this NPI number is 1/20/2016 and was last updated on 1/20/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251E00000XHome HealthNo
2385HR2065XRespite CareRespite Care, Physical Disabilities, ChildNo
3253Z00000XIn Home Supportive CareYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1374J00000XMEDICAIDNORTH CAROLINA
2372600000XMEDICAIDNORTH CAROLINA
3376J00000XMEDICAIDNORTH CAROLINA
4373H00000XMEDICAIDNORTH CAROLINA
53747P1801XMEDICAIDNORTH CAROLINA
6376K00000XMEDICAIDNORTH CAROLINA
7372500000XMEDICAIDNORTH CAROLINA
83747A0650XMEDICAIDNORTH CAROLINA
9374U00000XMEDICAIDNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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