Organization Active NPI

Alliance Personal Care Service LLC

  • In Home Supportive Care Agency
  • Gastonia, NC
National Provider Identifier
1194012526
Registry record updated Jun 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
HC4470 Issued in NC
Legal business name
ALLIANCE PERSONAL CARE SERVICE LLC
Practice address
705 S Weldon St
Gastonia, NC 28052-3967
Phone
(704) 222-2805
Fax
(704) 943-0547
NPI assigned
Jul 6, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2016

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

Authorized official

Name
Mrs. Adrienne George
Title
Director
Phone
(704) 222-2805

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X HC4470 NC Primary

Addresses

Primary practice location

705 S Weldon St
Gastonia, NC 28052-3967

Mailing address

10116 Baxter Caldwell Dr
Charlotte, NC 28213-4717
Phone (704) 222-2805

Other identifiers 1

IdentifierTypeStateIssuer
6602326MedicaidNC

National Provider Directory

National Provider Directory

NPI 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": "1465862400000",
    "number": "1194012526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10116 BAXTER CALDWELL DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282134717",
            "telephone_number": "704-222-2805",
            "fax_number": "704-943-0547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 S WELDON ST",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280523967",
            "telephone_number": "704-222-2805",
            "fax_number": "704-943-0547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIANCE PERSONAL CARE SERVICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-06",
        "last_updated": "2016-06-14",
        "status": "A",
        "authorized_official_last_name": "GEORGE",
        "authorized_official_first_name": "ADRIENNE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "704-222-2805",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NC",
            "license": "HC4470",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6602326",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gastonia, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2016; 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.