Active NPI
Luckey Quality Home Care LLC
- In Home Supportive Care Agency
- Charlotte, NC
National Provider Identifier
1033796958
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- LUCKEY QUALITY HOME CARE LLC
- Practice address
- 11709 Fruehauf Dr Ste 123
Charlotte, NC 28273-7286 - Phone
- (704) 777-3061
- NPI assigned
- Mar 26, 2021
- 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
- Mrs. Lanisha Luckey
- Title
- Chief Executive Officer
- Phone
- (704) 512-1317
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | |||
| In Home Supportive Care Agency | 253Z00000X | Primary |
Addresses
Primary practice location
11709 Fruehauf Dr Ste 123
Charlotte, NC 28273-7286
Mailing address
11709 Fruehauf Dr Ste 123
Charlotte, NC 28273-7286
Phone (704) 777-3061
National Provider Directory
National Provider DirectoryLocations
11709 Fruehauf Dr
Ste 123
Charlotte, NC 28273
Phone (704) 562-0088
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616716800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1687305600000",
"number": "1033796958",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11709 FRUEHAUF DR STE 123",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282737286",
"telephone_number": "704-777-3061"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11709 FRUEHAUF DR STE 123",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282737286",
"telephone_number": "704-777-3061"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LUCKEY QUALITY HOME CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-03-26",
"last_updated": "2023-06-21",
"certification_date": "2023-06-21",
"status": "A",
"authorized_official_last_name": "LUCKEY",
"authorized_official_first_name": "LANISHA",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "704-512-1317",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"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 Jun 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.