Organization Active NPI

Avodah Care Network

  • Home Health Agency
  • Charlotte, NC
National Provider Identifier
1003413147
Registry record updated Oct 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
AVODAH CARE NETWORK
Practice address
1811 Sardis Rd N
Charlotte, NC 28270-1426
Phone
(704) 305-8171
NPI assigned
Oct 1, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2020

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

Authorized official

Name
Edward Lilly
Title
Director
Phone
(704) 305-8171

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
In Home Supportive Care Agency 253Z00000X

Addresses

Primary practice location

1811 Sardis Rd N
Charlotte, NC 28270-1426

Mailing address

8920 Lawyers Rd # 691672
Mint Hill, NC 28227-9498
Phone (704) 305-8171

Other identifiers 1

IdentifierTypeStateIssuer
5531OtherNCNC DHSR HOME CARE LICENSE

National Provider Directory

National Provider Directory

Locations

8920 Lawyers Rd
Unit 691672
Mint Hill, NC 28227

NPI Registry JSON

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

{
    "created_epoch": "1601510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601683200000",
    "number": "1003413147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8920 LAWYERS RD # 691672",
            "city": "MINT HILL",
            "state": "NC",
            "postal_code": "282279498",
            "telephone_number": "704-305-8171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1811 SARDIS RD N",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282701426",
            "telephone_number": "704-305-8171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVODAH CARE NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-01",
        "last_updated": "2020-10-03",
        "certification_date": "2020-10-03",
        "status": "A",
        "authorized_official_last_name": "LILLY",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "704-305-8171"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC DHSR HOME CARE LICENSE",
            "identifier": "5531",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Oct 3, 2020; 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.