Individual provider Active NPI

Mary Leanora Henry, MAEDU

  • In Home Supportive Care Agency
  • Mint Hill, NC
National Provider Identifier
1215213244
Registry record updated Apr 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
HC7888 Issued in NC
Practice address
4614 Wilgrove Mint Hill Rd Ste H
Mint Hill, NC 28227-3547
Phone
(864) 978-6439
NPI assigned
Oct 21, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X HC7888 NC Primary

Addresses

Primary practice location

4614 Wilgrove Mint Hill Rd Ste H
Mint Hill, NC 28227-3547

Mailing address

4614 Wilgrove Mint Hill Rd Ste H
Mint Hill, NC 28227-3547
Phone (864) 978-6439

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
HC7888NCMDIn Home Supportive Care Agency

Practice roles

OrganizationSpecialtyStatusNew patients
Complete Pro Home Care LLC In Home Supportive Care Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1319155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777334400000",
    "number": "1215213244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4614 WILGROVE MINT HILL RD STE H",
            "city": "MINT HILL",
            "state": "NC",
            "postal_code": "282273547",
            "telephone_number": "864-978-6439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4614 WILGROVE MINT HILL RD STE H",
            "city": "MINT HILL",
            "state": "NC",
            "postal_code": "282273547",
            "telephone_number": "864-978-6439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRY",
        "first_name": "MARY",
        "middle_name": "LEANORA",
        "name_prefix": "Mrs.",
        "credential": "MAEDU",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-21",
        "last_updated": "2026-04-28",
        "certification_date": "2026-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NC",
            "license": "HC7888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mint Hill, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2026; 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.