NPIMap

Organization Active NPI

Community Homecare Services Inc

  • In Home Supportive Care Agency
  • Indian Trail, NC
National Provider Identifier
1043464290
Registry record updated Nov 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
HC3206 Issued in NC
Legal business name
COMMUNITY HOMECARE SERVICES INC
Practice address
5410 Frederick St
Indian Trail, NC 28079-6509
Phone
(704) 882-5757
Fax
(704) 882-2010
NPI assigned
Nov 13, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2008

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

Authorized official

Name
Ms. Regina Depass
Title
Director
Phone
(704) 323-9266

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X HC3206 NC Primary

Addresses

Primary practice location

5410 Frederick St
Indian Trail, NC 28079-6509

Mailing address

5410 Frederick St
Indian Trail, NC 28079-6509
Phone (704) 882-5757

Other identifiers 1

IdentifierTypeStateIssuer
6601388MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Community Homecare Services Inc4 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.

NPI Registry JSON

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

{
    "created_epoch": "1226534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226534400000",
    "number": "1043464290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5410 FREDERICK ST",
            "city": "INDIAN TRAIL",
            "state": "NC",
            "postal_code": "280796509",
            "telephone_number": "704-882-5757",
            "fax_number": "704-882-2010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5410 FREDERICK ST",
            "city": "INDIAN TRAIL",
            "state": "NC",
            "postal_code": "280796509",
            "telephone_number": "704-882-5757",
            "fax_number": "704-882-2010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HOMECARE SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-13",
        "last_updated": "2008-11-13",
        "status": "A",
        "authorized_official_last_name": "DEPASS",
        "authorized_official_first_name": "REGINA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "704-323-9266",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NC",
            "license": "HC3206",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6601388",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indian Trail, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2008; 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.