Carolina Care at Home LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

CAROLINA CARE AT HOME LLC

Practice address

107 Kilson Dr Ste 106
Mooresville, NC 28117-8182

Phone

(704) 230-1305

NPI assigned

Sep 1, 2019

Organization subpart

No

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

Authorized official

Name

Prabhu Ramkumar

Title

Owner/Agency Director

Phone

(704) 230-1305

Specialties & licenses 4

Addresses

Other names 1

• Right At Home - Charlotte/Lake Norman Doing business as

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Teri Hufford

  • Home Health Aide
  • Mooresville, NC
  • NPI 1114477726
  NPD (past)

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

{
    "created_epoch": "1567296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567296000000",
    "number": "1053969162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 KILSON DR STE 106",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281178182",
            "telephone_number": "704-230-1305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 KILSON DR STE 106",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281178182",
            "telephone_number": "704-230-1305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA CARE AT HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-01",
        "last_updated": "2019-09-01",
        "status": "A",
        "authorized_official_last_name": "RAMKUMAR",
        "authorized_official_first_name": "PRABHU",
        "authorized_official_title_or_position": "OWNER/AGENCY DIRECTOR",
        "authorized_official_telephone_number": "704-230-1305"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse's Aide",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "seniorcare-nc.com",
            "affiliation": "N",
            "endpointDescription": "Official web page",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Information sharing",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Website",
            "address_1": "107 Kilson Dr Ste 106",
            "city": "Mooresville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "281178182",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Right At Home - Charlotte/Lake Norman",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• In Home Supportive Care Agency in Mooresville, NC
• Providers in Mooresville, NC by specialty
• In Home Supportive Care Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2019; 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.