Stat Etc, Inc.

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

STAT ETC, INC.

Practice address

4917 Albemarle Rd Ste 206
Charlotte, NC 28205-6686

Phone

(980) 217-5231

Fax

(919) 400-4201

NPI assigned

Dec 12, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Loletta Wylie

Title

Administrator

Phone

(980) 217-5231

Specialties & licenses 2

Addresses

Other identifiers 4

Other names 1

• Queen City Home Care & Medical Staffing Other name

Locations

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710288000000",
    "number": "1114088416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 29562",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282299562",
            "telephone_number": "980-217-5231",
            "fax_number": "919-400-4201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4917 ALBEMARLE RD STE 206",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282056686",
            "telephone_number": "980-217-5231",
            "fax_number": "919-400-4201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAT ETC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2024-03-13",
        "certification_date": "2024-03-13",
        "status": "A",
        "authorized_official_last_name": "WYLIE",
        "authorized_official_first_name": "LOLETTA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "980-217-5231",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC3156",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100577",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3418002",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6601380",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6800485",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Queen City Home Care & Medical Staffing",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Stephanie Ann Starr, LCSW
• Startbupe Services Inc.
• Starting Point, Counseling & Wellness PLLC.
• Rebecca Lynn Stasiak
• Eva Mae Stassen, FNP
• Stat Wellness Charlotte PLLC
• State of North Carolina Home Care
• Staten Chiropractic and Wellness Center
• Lindsey Ann Staten, OT
• Shasta Gabrielle Staten, MED, LPC

• 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 Mar 13, 2024; 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.