Individual provider Active NPI

Darryl Byrd Jr.

  • In Home Supportive Care Agency
  • Charlotte, NC
National Provider Identifier
1104400779
Registry record updated Apr 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
HC6001 Issued in NC
Practice address
2801 Crisman St Ste 101E
Charlotte, NC 28208-3847
Phone
(704) 743-8392
Fax
(704) 559-3468
NPI assigned
May 10, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
In Home Supportive Care Agency 253Z00000X HC6001 NC Primary

Addresses

Primary practice location

2801 Crisman St Ste 101E
Charlotte, NC 28208-3847

Mailing address

3717 Patriots Place Dr
Concord, NC 28025-6033
Phone (704) 743-8392

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
HC6001NCMDIn Home Supportive Care Agency

Practice roles

OrganizationSpecialtyStatusNew patients
Isoken Express Lab LLC Current Accepting new patients
Isoken Home Care Solutions Home Health Current Accepting new patients

Locations

2801 Crisman St
Ste 101E
Charlotte, NC 28208
Phone (704) 743-8392

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1620604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744675200000",
    "number": "1104400779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3717 PATRIOTS PLACE DR",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280256033",
            "telephone_number": "704-743-8392",
            "fax_number": "704-559-3468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 CRISMAN ST STE 101E",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282083847",
            "telephone_number": "704-743-8392",
            "fax_number": "704-559-3468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYRD",
        "first_name": "DARRYL",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-05-10",
        "last_updated": "2025-04-15",
        "certification_date": "2025-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NC",
            "license": "HC6001",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Apr 15, 2025; 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.