Organization Active NPI

Vine& Branch Homecare

  • Home Health Agency
  • Charlotte, NC
National Provider Identifier
1164782595
Registry record updated Jan 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
VINE& BRANCH HOMECARE
Practice address
2520 Sardis Rd N
Charlotte, NC 28227-7827
Phone
(704) 246-8725
Fax
(704) 246-8728
NPI assigned
May 18, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2019

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

Authorized official

Name
Marya Lilly
Title
Office MGR
Phone
(704) 906-6482

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

2520 Sardis Rd N
Charlotte, NC 28227-7827

Mailing address

4258 Highway 49 S
Suite 901
Harrisburg, NC 28075-7558
Phone (910) 331-6088

National Provider Directory

National Provider Directory

Locations

2520 Sardis Rd N
Charlotte, NC 28227
Phone (704) 246-8725

NPI Registry JSON

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

{
    "created_epoch": "1337299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546473600000",
    "number": "1164782595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4258 HIGHWAY 49 S",
            "address_2": "SUITE 901",
            "city": "HARRISBURG",
            "state": "NC",
            "postal_code": "280757558",
            "telephone_number": "910-331-6088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 SARDIS RD N",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282277827",
            "telephone_number": "704-246-8725",
            "fax_number": "704-246-8728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VINE& BRANCH HOMECARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-18",
        "last_updated": "2019-01-03",
        "status": "A",
        "authorized_official_last_name": "LILLY",
        "authorized_official_first_name": "MARYA",
        "authorized_official_title_or_position": "OFFICE MGR",
        "authorized_official_telephone_number": "704-906-6482"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "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 Jan 3, 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.