Organization Active NPI

Integrated Care Services, LLC

  • In Home Supportive Care Agency
  • Charlotte, NC
National Provider Identifier
1104530377
Registry record updated Jan 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
INTEGRATED CARE SERVICES, LLC
Practice address
5500 Executive Center Dr Ste 238
Charlotte, NC 28212-8821
Phone
(980) 335-1160
NPI assigned
Jan 11, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2023

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

Authorized official

Name
Onuoha Jonah Emerem
Title
Owner
Phone
(980) 335-1160

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

5500 Executive Center Dr Ste 238
Charlotte, NC 28212-8821

Mailing address

5500 Executive Center Dr Ste 238
Charlotte, NC 28212-8821

National Provider Directory

National Provider Directory
Tax ID family
Integrated Care Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1673395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673395200000",
    "number": "1104530377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 EXECUTIVE CENTER DR STE 238",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282128821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 EXECUTIVE CENTER DR STE 238",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282128821",
            "telephone_number": "980-335-1160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED CARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-11",
        "last_updated": "2023-01-11",
        "certification_date": "2023-01-11",
        "status": "A",
        "authorized_official_last_name": "EMEREM",
        "authorized_official_first_name": "ONUOHA",
        "authorized_official_middle_name": "JONAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "980-335-1160"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "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 Jan 11, 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.