NPIMap

Organization Active NPI

Modern Home Care

  • In Home Supportive Care Agency
  • Charlotte, NC
National Provider Identifier
1063085835
Registry record updated Jul 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
MODERN HOME CARE
Practice address
10130 Perimeter Pkwy Ste 200
Charlotte, NC 28216-0197
Phone
(814) 374-3452
NPI assigned
Jul 20, 2021
Last updated
Jul 20, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
ELITE CLINICAL RESOURCESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 20, 2021

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

Authorized official

Name
Sheila Stevenson, RNNPI 1760090708
Title
Cno/Owner
Phone
(704) 608-9898

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 NU Primary

Addresses

Primary practice location

10130 Perimeter Pkwy Ste 200
Charlotte, NC 28216-0197

Mailing address

6531 Dillard Ridge Dr
Charlotte, NC 28216-8845
Phone (704) 608-9898

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL website

National Provider Directory

National Provider Directory
Tax ID family
Modern Home Care3 organizations share this tax ID, including this one
Part of
Modern Home Care

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

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": "1626739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626739200000",
    "number": "1063085835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6531 DILLARD RIDGE DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282168845",
            "telephone_number": "704-608-9898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10130 PERIMETER PKWY STE 200",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282160197",
            "telephone_number": "814-374-3452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERN HOME CARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ELITE CLINICAL RESOURCES",
        "enumeration_date": "2021-07-20",
        "last_updated": "2021-07-20",
        "certification_date": "2021-07-20",
        "status": "A",
        "authorized_official_last_name": "STEVENSON",
        "authorized_official_first_name": "SHEILA",
        "authorized_official_title_or_position": "CNO/OWNER",
        "authorized_official_telephone_number": "704-608-9898",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "website",
            "affiliation": "N",
            "address_1": "10130 Perimeter Pkwy Ste 200",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282160197",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Jul 20, 2021; 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.