NPIMap

Organization Active NPI

Comfort Care PDS, LLC.

  • In Home Supportive Care Agency
  • Charlotte, NC
National Provider Identifier
1235592163
Registry record updated Mar 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
COMFORT CARE PDS, LLC.
Practice address
11522 Leigh Glen Cir
Charlotte, NC 28269-3172
Phone
(980) 282-0199
NPI assigned
Mar 29, 2016
Last updated
Mar 29, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2016

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

Authorized official

Name
Mrs. Latina IngelsNPI 1841654852
Title
Owner
Phone
(980) 282-0199

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

11522 Leigh Glen Cir
Charlotte, NC 28269-3172

Mailing address

400 Gilead Rd
PO Box 841
Huntersville, NC 28070-6953
Phone (980) 282-0199

National Provider Directory

National Provider Directory

Locations

400 Gilead Rd
Unit 841
Huntersville, NC 28070

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1459209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459209600000",
    "number": "1235592163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 GILEAD RD",
            "address_2": "PO BOX 841",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280706953",
            "telephone_number": "980-282-0199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11522 LEIGH GLEN CIR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282693172",
            "telephone_number": "980-282-0199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMFORT CARE PDS, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-29",
        "last_updated": "2016-03-29",
        "status": "A",
        "authorized_official_last_name": "INGELS",
        "authorized_official_first_name": "LATINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "980-282-0199",
        "authorized_official_name_prefix": "Mrs."
    },
    "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 Mar 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.