Organization Active NPI

Carolina Angels Home Care Inc

  • Home Health Agency
  • Charlotte, NC
National Provider Identifier
1063537546
Registry record updated Mar 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
193728 Issued in NC
Legal business name
CAROLINA ANGELS HOME CARE INC
Doing business as
Carolina Angels Home Care
Practice address
756 Tyvola Rd Ste 143
Charlotte, NC 28217-8217
Phone
(704) 523-1040
Fax
(704) 523-1080
NPI assigned
Mar 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2009

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

Authorized official

Name
Mrs. Stephanie Renee Brathwaite, RN
Title
Service Supervisor
Phone
(704) 523-1040

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163WH0200X 193729 NC
Home Health Agency 251E00000X 193728 NC Primary

Addresses

Primary practice location

756 Tyvola Rd Ste 143
Charlotte, NC 28217-8217

Mailing address

756 Tyvola Rd Ste 143
Charlotte, NC 28217-8217
Phone (704) 523-1040

Other names 1

  • Carolina Angels Home Care Doing business as

National Provider Directory

National Provider Directory

Locations

756 Tyvola Rd
Ste 143
Charlotte, NC 28217
Phone (704) 493-3422

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236643200000",
    "number": "1063537546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "756 TYVOLA RD STE 143",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282178217",
            "telephone_number": "704-523-1040",
            "fax_number": "704-523-1080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "756 TYVOLA RD STE 143",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282178217",
            "telephone_number": "704-523-1040",
            "fax_number": "704-523-1080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA ANGELS HOME CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2009-03-10",
        "status": "A",
        "authorized_official_last_name": "BRATHWAITE",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "SERVICE SUPERVISOR",
        "authorized_official_telephone_number": "704-523-1040",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Home Health",
            "state": "NC",
            "license": "193729",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "193728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carolina Angels Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 10, 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.