Organization Active NPI

Queen City Home Care LLC

  • In Home Supportive Care Agency
  • Charlotte, NC
National Provider Identifier
1164039913
Registry record updated Sep 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
QUEEN CITY HOME CARE LLC
Practice address
1220 Eastway Dr
Charlotte, NC 28205-2202
Phone
(678) 920-3939
NPI assigned
Sep 25, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2020

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

Authorized official

Name
Francisca Anieke, PHARMACISTNPI 1922438241
Title
Administrator
Phone
(678) 920-3939

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

1220 Eastway Dr
Charlotte, NC 28205-2202

Mailing address

15473 Tully House CT
Charlotte, NC 28277-2982

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1600992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600992000000",
    "number": "1164039913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15473 TULLY HOUSE CT",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282772982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 EASTWAY DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282052202",
            "telephone_number": "678-920-3939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEEN CITY HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-25",
        "last_updated": "2020-09-25",
        "certification_date": "2020-09-25",
        "status": "A",
        "authorized_official_last_name": "ANIEKE",
        "authorized_official_first_name": "FRANCISCA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "678-920-3939",
        "authorized_official_credential": "PHARMACIST"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "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 Sep 25, 2020; 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.