Organization Active NPI

Cannon Home Healthcare

  • Home Health Agency
  • Charlotte, NC
National Provider Identifier
1215294822
Registry record updated Apr 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
CANNON HOME HEALTHCARE
Practice address
7108 Hollyhouse Dr
Charlotte, NC 28215-3734
Phone
(704) 491-9702
Fax
(704) 454-7464
NPI assigned
Apr 19, 2012
Last updated
Apr 19, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2012

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

Authorized official

Name
Mr. Greg J Krypel, MSED
Title
VP of Operations
Phone
(704) 491-9702

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NC Primary
Community Based Hospice Care Agency 251G00000X NC
Nursing Care Agency 251J00000X NC
In Home Supportive Care Agency 253Z00000X NC

Addresses

Primary practice location

7108 Hollyhouse Dr
Charlotte, NC 28215-3734

Mailing address

7108 Hollyhouse Dr
Charlotte, NC 28215-3734
Phone (704) 491-9702

National Provider Directory

National Provider Directory
Tax ID family
Cannon Home Healthcare2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1334793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334793600000",
    "number": "1215294822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7108 HOLLYHOUSE DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282153734",
            "telephone_number": "704-491-9702",
            "fax_number": "704-454-7464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7108 HOLLYHOUSE DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282153734",
            "telephone_number": "704-491-9702",
            "fax_number": "704-454-7464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANNON HOME HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-19",
        "last_updated": "2012-04-19",
        "status": "A",
        "authorized_official_last_name": "KRYPEL",
        "authorized_official_first_name": "GREG",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "VP OF OPERATIONS",
        "authorized_official_telephone_number": "704-491-9702",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSED"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": null,
            "primary": true
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NC",
            "license": null,
            "primary": false
        }
    ],
    "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 19, 2012; 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.