Organization Active NPI

Homecare Link, LLC

  • Home Health Agency
  • Charlotte, NC
National Provider Identifier
1104022979
Registry record updated Aug 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HC3638 Issued in NC
Legal business name
HOMECARE LINK, LLC
Practice address
5200 Park Road
Suite 131
Charlotte, NC 28209-3749
Phone
(704) 302-1821
Fax
(704) 315-5099
NPI assigned
Jun 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2008

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

Authorized official

Name
Pauline S Parker, RN
Title
Ceo
Phone
(704) 302-1821

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HC3638 NC Primary

Addresses

Primary practice location

5200 Park Road
Suite 131
Charlotte, NC 28209-3749

Mailing address

5200 Park Road
Suite 131
Charlotte, NC 28209-3749
Phone (704) 302-1821

Other identifiers 2

IdentifierTypeStateIssuer
6601736MedicaidNC
3418436MedicaidNC

National Provider Directory

National Provider Directory

Locations

5200 Park Rd
Ste 131
Charlotte, NC 28209
Phone (704) 302-1821

NPI Registry JSON

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

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218067200000",
    "number": "1104022979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 PARK ROAD",
            "address_2": "SUITE 131",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282093749",
            "telephone_number": "704-302-1821",
            "fax_number": "704-315-5099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 PARK ROAD",
            "address_2": "SUITE 131",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282093749",
            "telephone_number": "704-302-1821",
            "fax_number": "704-315-5099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMECARE LINK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-26",
        "last_updated": "2008-08-07",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "PAULINE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "704-302-1821",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC3638",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6601736",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3418436",
            "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 Aug 7, 2008; 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.