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SANDERS HOMECARE SERVICES NPI 1770173247


NPI Information

NPI: 1770173247
Provider Name: SANDERS HOMECARE SERVICES
Classification: Home Health - 251E00000X
Entity Type: Organization
Address:
10130 MALLARD CREEK RD STE 300
CHARLOTTE, NC
ZIP 28262
Phone: (704) 497-1633
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SANDERS HOMECARE SERVICES is a home health in Charlotte, NC. The provider is 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. SANDERS HOMECARE SERVICES NPI is 1770173247. The provider is registered as an organization entity type.

The provider's business location address is:

10130 MALLARD CREEK RD STE 300
CHARLOTTE, NC
ZIP 28262-001
Phone: (704) 497-1633
Fax: (704) 625-9084

The provider's authorized official is Shelly H Sanders .
The authorized official title is Owner/director and has the following contact phone number (980) 439-2672.

The enumeration date for this NPI number is 1/19/2021 and was last updated on 1/12/2022.


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
1253Z00000XIn Home Supportive CareNo
2332B00000XDurable Medical Equipment & Medical SuppliesNo
3332U00000XHome Delivered MealsNo
4385HR2055XRespite CareRespite Care, Mental Illness, ChildNo
5385HR2060XRespite CareRespite Care, Intellectual and/or Developmental DisabilitiesNo
6385HR2065XRespite CareRespite Care, Physical Disabilities, ChildNo
7251E00000XHome HealthYes
8385H00000XRespite CareNo

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
11255794491MEDICAIDNORTH 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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.