NPIMap

Organization Active NPI

Symakla Home Healthcare Professionals of North Carolina

  • Personal Care Attendant
  • Charlotte, NC
National Provider Identifier
1003149931
Registry record updated Jul 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
License
HC3420 Issued in NC
Legal business name
SYMAKLA HOME HEALTHCARE PROFESSIONALS OF NORTH CAROLINA
Practice address
1909 J N Pease PL
Suite 101
Charlotte, NC 28262-4558
Phone
(704) 947-8383
Fax
(704) 717-3168
NPI assigned
Sep 10, 2009
Organization subpart
Yes
Parent organization
SYMAKLA WATSON INVESTMENTS CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 27, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Lasonya S Watson, MBA
Title
Administrator
Phone
(704) 947-8383

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care AttendantGroup: 193400000X SINGLE SPECIALTY GROUP 3747P1801X HC3420 NC Primary

Addresses

Primary practice location

1909 J N Pease PL
Suite 101
Charlotte, NC 28262-4558

Mailing address

1909 J N Pease PL
Suite 101
Charlotte, NC 28262-4558
Phone (704) 947-8383

Other identifiers 1

IdentifierTypeStateIssuer
3418216MedicaidNC

Other names 1

  • Symakla Home Healthcare Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Symakla Home Healthcare4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1909 J N Pease Pl
Ste 101
Charlotte, NC 28262
Phone (704) 947-8383

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1252540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343347200000",
    "number": "1003149931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1909 J N PEASE PL",
            "address_2": "SUITE 101",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282624558",
            "telephone_number": "704-947-8383",
            "fax_number": "704-717-3168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1909 J N PEASE PL",
            "address_2": "SUITE 101",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282624558",
            "telephone_number": "704-947-8383",
            "fax_number": "704-717-3168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYMAKLA HOME HEALTHCARE PROFESSIONALS OF NORTH CAROLINA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SYMAKLA WATSON INVESTMENTS CORPORATION",
        "enumeration_date": "2009-09-10",
        "last_updated": "2012-07-27",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "LASONYA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "704-947-8383",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": "NC",
            "license": "HC3420",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3418216",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Symakla Home Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.