Organization Active NPI

Personal Care Services of the Carolinas

  • In Home Supportive Care Agency
  • Charlotte, NC
National Provider Identifier
1053675975
Registry record updated Jun 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
HC4550 Issued in NC
Legal business name
PERSONAL CARE SERVICES OF THE CAROLINAS
Practice address
800 W Hill St
Suite 207
Charlotte, NC 28208-5360
Phone
(704) 605-8219
NPI assigned
Jun 26, 2012
Last updated
Jun 26, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2012

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

Authorized official

Name
Mrs. Mary Lavonne Walker-HowardNPI 1053676007
Title
Co-Owner/Member
Phone
(704) 605-8219

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X HC4550 NC Primary

Addresses

Primary practice location

800 W Hill St
Suite 207
Charlotte, NC 28208-5360

Mailing address

800 W Hill St Ste 207
Charlotte, NC 28208-5361
Phone (704) 605-8219

Other identifiers 2

IdentifierTypeStateIssuer
120285OtherNCFACILITY ID
HC4550OtherNCLICENSE NUMBER

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1340668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340668800000",
    "number": "1053675975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 W HILL ST STE 207",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282085361",
            "telephone_number": "704-605-8219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 W HILL ST",
            "address_2": "SUITE 207",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282085360",
            "telephone_number": "704-605-8219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSONAL CARE SERVICES OF THE CAROLINAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-26",
        "last_updated": "2012-06-26",
        "status": "A",
        "authorized_official_last_name": "WALKER-HOWARD",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "LAVONNE",
        "authorized_official_title_or_position": "CO-OWNER/MEMBER",
        "authorized_official_telephone_number": "704-605-8219",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NC",
            "license": "HC4550",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FACILITY ID",
            "identifier": "120285",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "HC4550",
            "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 Jun 26, 2012; 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.