Appointed To Provide Home Care Agency

LBN: Appointed To Provide Home Care Agency
Appointed To Provide Home Care Agency is an health care organization with primary practice located at 4817 Spruce Peak Rd , Charlotte NC 28278-6559. The organization recently has 3 registered licenses in different health care specialties including Agencies / Home Health, Agencies / In Home Supportive Care, Respite Care Facility / Respite Care, Physical Disabilities, Child. Agencies / In Home Supportive Care is the primary health care specialty. Appointed To Provide Home Care Agency can be contacted via phone (980) 219-3495, or through Burnett, Sharrika A via phone (980) 219-3495.

Contact Information

Primary practice address
4817 Spruce Peak Rd Charlotte NC 28278-6559
Phone: (980) 219-3495
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Burnett, Sharrika A
Phone: (980) 219-3495

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X
Agencies / In Home Supportive Care 253Z00000X
Respite Care Facility / Respite Care, Physical Disabilities, Child 385HR2065X

Profile Details

NPI number 1205293313
LBN Legal business name Appointed To Provide Home Care Agency
DBA Doing business as
Authorized official Burnett, Sharrika A
Entity Organization
Organization subpart 1 No
Enumeration date Jan 20th, 2016
Last updated Jan 20th, 2016 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205293313 NPPES
North Carolina MEDICAID 372600000X
North Carolina MEDICAID 372500000X
North Carolina MEDICAID 374J00000X
North Carolina MEDICAID 376K00000X
North Carolina MEDICAID 373H00000X
North Carolina MEDICAID 374U00000X
North Carolina MEDICAID 3747A0650X
North Carolina MEDICAID 3747P1801X
North Carolina MEDICAID 376J00000X

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