Active NPI
Avodah Care Network
- Home Health Agency
- Charlotte, NC
National Provider Identifier
1003413147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5531 | Other | NC | NC DHSR HOME CARE LICENSE |
National Provider Directory
National Provider DirectoryLocations
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.