Organization Active NPI

Carolina Home Advantage, LLC

  • In Home Supportive Care Agency
  • Thomasville, NC
National Provider Identifier
1124586771
Registry record updated Nov 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
CAROLINA HOME ADVANTAGE, LLC
Practice address
1033 Randolph St Ste 14
Thomasville, NC 27360-5731
Phone
(336) 973-8850
Fax
(336) 973-3052
NPI assigned
Mar 2, 2019
Last updated
Nov 25, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2019

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

Authorized official

Name
Chasiti McLeod
Title
Agency Director
Phone
(336) 561-3897

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
Nursing Care Agency 251J00000X
In Home Supportive Care Agency 253Z00000X Primary
Respite Care 385H00000X

Addresses

Primary practice location

1033 Randolph St Ste 14
Thomasville, NC 27360-5731

Mailing address

1033 Randolph St Ste 14
Thomasville, NC 27360-5731
Phone (336) 973-8850

National Provider Directory

National Provider Directory

Locations

1033 Randolph St
Ste 14
Thomasville, NC 27360
Phone (336) 973-8850

NPI Registry JSON

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

{
    "created_epoch": "1551484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574640000000",
    "number": "1124586771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1033 RANDOLPH ST STE 14",
            "city": "THOMASVILLE",
            "state": "NC",
            "postal_code": "273605731",
            "telephone_number": "336-973-8850",
            "fax_number": "336-973-3052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1033 RANDOLPH ST STE 14",
            "city": "THOMASVILLE",
            "state": "NC",
            "postal_code": "273605731",
            "telephone_number": "336-973-8850",
            "fax_number": "336-973-3052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA HOME ADVANTAGE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-02",
        "last_updated": "2019-11-25",
        "status": "A",
        "authorized_official_last_name": "MCLEOD",
        "authorized_official_first_name": "CHASITI",
        "authorized_official_title_or_position": "AGENCY DIRECTOR",
        "authorized_official_telephone_number": "336-561-3897"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thomasville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2019; 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.