Active NPI
Covenant in-Home Care, LLC
- In Home Supportive Care Agency
- Charlotte, NC
National Provider Identifier
1184911562
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- License
- HC4259
- Legal business name
- COVENANT IN-HOME CARE, LLC
- Practice address
- 3901 Glenfall Ave
Charlotte, NC 28210-6307 - Phone
- (704) 288-0242
- Fax
- (704) 643-8197
- NPI assigned
- Jul 6, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Andrew Martin
- Title
- Owner/President
- Phone
- (704) 650-5034
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | HC4259 | NC | Primary |
Addresses
Primary practice location
3901 Glenfall Ave
Charlotte, NC 28210-6307
Mailing address
3901 Glenfall Ave.
Charlotte, NC 28210
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309910400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1309910400000",
"number": "1184911562",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3901 GLENFALL AVE.",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "28210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3901 GLENFALL AVE",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282106307",
"telephone_number": "704-288-0242",
"fax_number": "704-643-8197"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COVENANT IN-HOME CARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-07-06",
"last_updated": "2011-07-06",
"status": "A",
"authorized_official_last_name": "MARTIN",
"authorized_official_first_name": "ANDREW",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "704-650-5034",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "NC",
"license": "HC4259",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
- Meghan M Couture, CRNA
- Benjamin Covell
- Caleigh Ann Covell, LP
- Nicole Bensen Covell, DO
- Covenant Elder Health Services & Management LLC
- Lindsay Allison Cover, PA
- Linda Renee Coverdale, P.A.
- Covilab
- Covington DMD PLLC (Carolina TMJ and Sleep Solutions)
- Covington DMD PLLC (Carolina TMJ and Sleep Solutions)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.