NPIMap

Organization Active NPI

Assured Care

  • Home Health Agency
  • Charlotte, NC
National Provider Identifier
1013157015
Registry record updated Oct 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HC3774 Issued in NC
Legal business name
ASSURED CARE
Practice address
1409 East Blvd
Suite 110
Charlotte, NC 28203-5817
Phone
(704) 334-4820
Fax
(704) 334-4821
NPI assigned
Mar 3, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2016

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

Authorized official

Name
Ms. Audrey Lovella Smith
Title
Owner/Administrative Director
Phone
(704) 334-4820

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HC3774 NC Primary

Addresses

Primary practice location

1409 East Blvd
Suite 110
Charlotte, NC 28203-5817

Mailing address

6977 Nexus CT
Suite 104
Fayetteville, NC 28304-2650
Phone (910) 223-0032

Other identifiers 1

IdentifierTypeStateIssuer
HC3774MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Assured Care6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Locations

1409 East Blvd
Ste 110
Charlotte, NC 28203
Phone (704) 334-4820

NPI Registry JSON

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

{
    "created_epoch": "1236038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475452800000",
    "number": "1013157015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6977 NEXUS CT",
            "address_2": "SUITE 104",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283042650",
            "telephone_number": "910-223-0032",
            "fax_number": "910-223-0255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1409 EAST BLVD",
            "address_2": "SUITE 110",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282035817",
            "telephone_number": "704-334-4820",
            "fax_number": "704-334-4821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSURED CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-03",
        "last_updated": "2016-10-03",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "AUDREY",
        "authorized_official_middle_name": "LOVELLA",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATIVE DIRECTOR",
        "authorized_official_telephone_number": "704-334-4820",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC3774",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HC3774",
            "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, 2016; 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.