NPIMap

Organization Active NPI

Community Homecare Services Inc

  • Home Health Agency
  • Monroe, NC
National Provider Identifier
1053546028
Registry record updated May 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HC3537 Issued in NC
Legal business name
COMMUNITY HOMECARE SERVICES INC
Practice address
1654 Dickerson Blvd
Unit D
Monroe, NC 28110-2883
Phone
(704) 289-3506
Fax
(704) 289-9484
NPI assigned
May 20, 2009
Last updated
May 20, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2009

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
Home Health Agency 251E00000X HC3537 NC Primary

Addresses

Primary practice location

1654 Dickerson Blvd
Unit D
Monroe, NC 28110-2883

Mailing address

5410 Frederick St
Indian Trail, NC 28079-6509
Phone (704) 289-3506

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.

Locations

1654 Dickerson Blvd
Ste D
Monroe, NC 28110
Phone (704) 289-3506

NPI Registry JSON

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

{
    "created_epoch": "1242777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242777600000",
    "number": "1053546028",
    "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": "704-289-3506",
            "fax_number": "704-289-9484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1654 DICKERSON BLVD",
            "address_2": "UNIT D",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281102883",
            "telephone_number": "704-289-3506",
            "fax_number": "704-289-9484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HOMECARE SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-20",
        "last_updated": "2009-05-20",
        "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": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC3537",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6601388",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2009; 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.