Organization Active NPI

Further Stay LLC

  • In Home Supportive Care Agency
  • Charlotte, NC
National Provider Identifier
1225950868
Registry record updated Jul 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
FURTHER STAY LLC
Practice address
4111 Rose Lake Dr # 9411
Charlotte, NC 28217-2829
Phone
(704) 835-6296
NPI assigned
Jul 27, 2026
Last updated
Jul 27, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2026

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

Authorized official

Name
Latoya Harris
Title
Owner
Phone
(704) 835-6296

Specialties & licenses 1

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

Addresses

Primary practice location

4111 Rose Lake Dr # 9411
Charlotte, NC 28217-2829

Mailing address

4111 Rose Lake Dr # 9411
Charlotte, NC 28217-2829
Phone (704) 835-6296

National Provider Directory

National Provider Directory

Locations

4111 Rose Lake Dr
#9411
Charlotte, NC 28217

NPI Registry JSON

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

{
    "created_epoch": "1785110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785110400000",
    "number": "1225950868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4111 ROSE LAKE DR # 9411",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282172829",
            "telephone_number": "704-835-6296",
            "fax_number": "704-835-6296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4111 ROSE LAKE DR # 9411",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282172829",
            "telephone_number": "704-835-6296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FURTHER STAY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-27",
        "last_updated": "2026-07-27",
        "certification_date": "2026-07-26",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "LATOYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-835-6296"
    },
    "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 Jul 27, 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.