Organization Active NPI

Eldercare Solutions

Doing business as Comfort Keepers 185

  • In Home Supportive Care Agency
  • Charlotte, NC
National Provider Identifier
1235291261
Registry record updated Sep 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
HC2488 Issued in NC
Legal business name
ELDERCARE SOLUTIONS
Doing business as
Comfort Keepers 185
Practice address
8815 University East Dr
Ste 110
Charlotte, NC 28213-4100
Phone
(704) 630-0370
Fax
(704) 630-0788
NPI assigned
Dec 15, 2006
Last updated
Sep 29, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2016

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

Authorized official

Name
Lori Eberly, MHA
Title
Owner
Phone
(704) 433-7554

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HC2488 NC
In Home Supportive Care Agency 253Z00000X HC2488 NC Primary

Addresses

Primary practice location

8815 University East Dr
Ste 110
Charlotte, NC 28213-4100

Mailing address

512 Klumac Rd Ste 9
Salisbury, NC 28144-6752
Phone (704) 630-0370

Other identifiers 3

IdentifierTypeStateIssuer
6601062MedicaidNC
6601061MedicaidNC
3408033MedicaidNC

Other names 1

  • Comfort Keepers 185 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Comfort Keepers5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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": "1166140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475107200000",
    "number": "1235291261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 KLUMAC RD STE 9",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281446752",
            "telephone_number": "704-630-0370",
            "fax_number": "704-630-0788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8815 UNIVERSITY EAST DR",
            "address_2": "STE 110",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282134100",
            "telephone_number": "704-630-0370",
            "fax_number": "704-630-0788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELDERCARE SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-15",
        "last_updated": "2016-09-29",
        "status": "A",
        "authorized_official_last_name": "EBERLY",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-433-7554",
        "authorized_official_credential": "MHA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC2488",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NC",
            "license": "HC2488",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6601062",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6601061",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3408033",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Comfort Keepers 185",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 29, 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.