NPIMap

Organization Active NPI

Eldercare Solutions

  • In Home Supportive Care Agency
  • Salisbury, NC
National Provider Identifier
1114122967
Registry record updated Sep 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
HC2487 Issued in NC
Legal business name
ELDERCARE SOLUTIONS
Practice address
512 Klumac Rd Ste 9
Salisbury, NC 28144-6752
Phone
(704) 630-0370
Fax
(704) 630-0788
NPI assigned
Jun 20, 2007
Last updated
Sep 29, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2016

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

Authorized official

Name
Lori Eberly
Title
Owner
Phone
(704) 630-0370

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HC2487 NC
In Home Supportive Care Agency 253Z00000X HC2487 NC Primary

Addresses

Primary practice location

512 Klumac Rd Ste 9
Salisbury, NC 28144-6752

Mailing address

512 Klumac Rd Ste 9
Salisbury, NC 28144-6752
Phone (704) 630-0370

Other identifiers 3

IdentifierTypeStateIssuer
3408033MedicaidNC
6601062MedicaidNC
6601061MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Comfort Keepers5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

512 Klumac Rd
Ste 9
Salisbury, NC 28144
Phone (704) 630-0370

NPI Registry JSON

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

{
    "created_epoch": "1182297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475107200000",
    "number": "1114122967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 KLUMAC RD STE 9",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281446752",
            "telephone_number": "704-630-0370",
            "fax_number": "704-630-0788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 KLUMAC RD STE 9",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281446752",
            "telephone_number": "704-630-0370",
            "fax_number": "704-630-0788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELDERCARE SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-20",
        "last_updated": "2016-09-29",
        "status": "A",
        "authorized_official_last_name": "EBERLY",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-630-0370"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC2487",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NC",
            "license": "HC2487",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3408033",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6601062",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6601061",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2016; 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.