Organization Active NPI

N-Ovative Care Services

  • In Home Supportive Care Agency
  • Charlotte, NC
National Provider Identifier
1205581980
Registry record updated Apr 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
N-OVATIVE CARE SERVICES
Practice address
1110 Vine Cliff LN
Charlotte, NC 28214-0001
Phone
(704) 200-3260
NPI assigned
Feb 21, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2023

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

Authorized official

Name
Kelvin Dewayne Walker
Title
Owner
Phone
(704) 200-3260

Specialties & licenses 1

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

Addresses

Primary practice location

1110 Vine Cliff LN
Charlotte, NC 28214-0001

Mailing address

1110 Vine Cliff LN
Charlotte, NC 28214-0001
Phone (704) 200-3260

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1645401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680739200000",
    "number": "1205581980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 VINE CLIFF LN",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282140001",
            "telephone_number": "704-200-3260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 VINE CLIFF LN",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282140001",
            "telephone_number": "704-200-3260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "N-OVATIVE CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-21",
        "last_updated": "2023-04-06",
        "certification_date": "2023-04-06",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "KELVIN",
        "authorized_official_middle_name": "DEWAYNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-200-3260"
    },
    "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 Apr 6, 2023; 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.