Individual provider Active NPI

Refain Monroe

  • Home Health Agency
  • Charlotte, NC
National Provider Identifier
1134577232
Registry record updated Nov 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HC6015 Issued in NC
Practice address
7972 Shady Oak TRL
Apt 201
Charlotte, NC 28210-9436
Phone
(704) 698-7642
Fax
(704) 681-8235
NPI assigned
May 30, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HC6015 NC Primary

Addresses

Primary practice location

7972 Shady Oak TRL
Apt 201
Charlotte, NC 28210-9436

Mailing address

7972 Shady Oak TRL
Apt 201
Charlotte, NC 28210-9436
Phone (704) 698-7642

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
HC6015NCMDHome Health Agency

NPI Registry JSON

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

{
    "created_epoch": "1464566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636502400000",
    "number": "1134577232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7972 SHADY OAK TRL",
            "address_2": "APT 201",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282109436",
            "telephone_number": "704-698-7642",
            "fax_number": "704-681-8235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7972 SHADY OAK TRL",
            "address_2": "APT 201",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282109436",
            "telephone_number": "704-698-7642",
            "fax_number": "704-681-8235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONROE",
        "first_name": "REFAIN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-30",
        "last_updated": "2021-11-10",
        "certification_date": "2021-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC6015",
            "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 Nov 10, 2021; 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.