Tabono Care Services

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

HC4110 Issued in NC

Legal business name

TABONO CARE SERVICES

Practice address

3701 Freedom Dr
Charlotte, NC 28208-2205

Phone

(704) 395-9496

Fax

(866) 431-2587

NPI assigned

Dec 29, 2008

Organization subpart

No

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

Authorized official

Name

Tamika Lashon Chisholm

Title

Member

Phone

(704) 395-9496

Specialties & licenses 5

Addresses

Other identifiers 2

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Tabono Cap Services

  • Home Health Agency
  • Cornelius, NC
  • NPI 1497048417
  NPPES parent name

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

{
    "created_epoch": "1230508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698624000000",
    "number": "1104062967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 480428",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282695320",
            "telephone_number": "704-395-9496",
            "fax_number": "866-431-2587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 FREEDOM DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282082205",
            "telephone_number": "704-395-9496",
            "fax_number": "866-431-2587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TABONO CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-29",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A",
        "authorized_official_last_name": "CHISHOLM",
        "authorized_official_first_name": "TAMIKA",
        "authorized_official_middle_name": "LASHON",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "704-395-9496"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NC",
            "license": "HC4110",
            "primary": true
        },
        {
            "code": "372600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": "NC",
            "license": "HC4110",
            "primary": false
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse's Aide",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1497048417",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF NORTH CAROLINA/DHHS-DHSR HOME CARE LICENSE",
            "identifier": "HC4110",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Camila Tabares Vivas
• Rekha Tabjula, OTR/L
• Sandra Sue Tabolt, CADC
• Michael F Tabone, DO
• Tracy Tabone
• Eve Tabor-Woodall, MSW, LCSWA
• Anik Tabor, OTR/L
• Ann Vandevelde Tabor, LMFTA, JD
• Elnaz Nassehzadeh Tabrizi, MD
• La Vonda Tabron, FNP

• In Home Supportive Care Agency in Charlotte, NC
• Providers in Charlotte, 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 Oct 30, 2023; 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.