Fortune Heart of North Carolina Home Care LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

FORTUNE HEART OF NORTH CAROLINA HOME CARE LLC

Doing business as

Fortune Heart of NC Home Care

Practice address

3117 Whiting Ave
Charlotte, NC 28205-1648

Phone

(980) 306-4777

NPI assigned

Dec 19, 2021

Organization subpart

No

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

Authorized official

Name

Breona Blackwell

Title

Administrator

Phone

(864) 584-0744

Specialties & licenses 1

Addresses

Other names 1

• Fortune Heart of NC Home Care Doing business as

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1639872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708732800000",
    "number": "1134889140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3117 WHITING AVE",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282051648",
            "telephone_number": "980-306-4777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3117 WHITING AVE",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282051648",
            "telephone_number": "980-306-4777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORTUNE HEART OF NORTH CAROLINA HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-19",
        "last_updated": "2024-02-24",
        "certification_date": "2024-02-24",
        "status": "A",
        "authorized_official_last_name": "BLACKWELL",
        "authorized_official_first_name": "BREONA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "864-584-0744"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "breonablackwell@fortuneheartofnc.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3117 Whiting Ave",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282051648",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Fortune Heart of NC Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elizabeth Richmond Fortner, FNP-C
• Molly Fortner, MD
• Riley Fortner, MD
• Nancy Stephens Fortson, PHARMD, RPH
• Fortuity Home Health & Senior Care (Fortuity Senior Care)
• Tamatha S. Fortune, LPCA, NCC, CCMC
• William Joseph Fortuner II, MD
• Forward Motion Enterprise LLC
• Olena Fosforova, LMBT
• Nathanael David Foss, DPT

• 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 Feb 24, 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.