Active NPI
Clevelands Home Care Service Inc
- In Home Supportive Care Agency
- Kings Mountain, NC
National Provider Identifier
1235847146
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- CLEVELANDS HOME CARE SERVICE INC
- Practice address
- 507 Woodside Dr
Kingsmountain, NC 28086-2808 - Phone
- (704) 750-6100
- Fax
- (704) 750-6103
- NPI assigned
- Nov 9, 2022
- Last updated
- Mar 19, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Elisha Nnaji
- Title
- President
- Phone
- (704) 750-6100
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) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | NU | Primary |
Addresses
Primary practice location
507 Woodside Dr
Kingsmountain, NC 28086-2808
Mailing address
507 Woodside Dr
Kings Mountain, NC 28086-2451
Phone (704) 750-6100
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Home Health Aide
- Kings Mountain, NC
- NPI 1285367367
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667952000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1679184000000",
"number": "1235847146",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "507 WOODSIDE DR",
"city": "KINGS MOUNTAIN",
"state": "NC",
"postal_code": "280862451",
"telephone_number": "704-750-6100",
"fax_number": "704-750-6103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "507 WOODSIDE DR",
"city": "KINGSMOUNTAIN",
"state": "NC",
"postal_code": "280862808",
"telephone_number": "704-750-6100",
"fax_number": "704-750-6103"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CLEVELANDS HOME CARE SERVICE INC",
"organizational_subpart": "NO",
"enumeration_date": "2022-11-09",
"last_updated": "2023-03-19",
"certification_date": "2023-03-19",
"status": "A",
"authorized_official_last_name": "NNAJI",
"authorized_official_first_name": "ELISHA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "704-750-6100",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kings Mountain, NC
- Cleveland Health Ventures LLC (Cleveland Plastic and Hand Surgery)
- Cleveland Health Ventures LLC (Kings Mountain Internal Medicine)
- Cleveland Health Ventures LLC (Carolinas Sleep Services-Cleveland)
- Cleveland Health Ventures LLC (Shelby Women's Care)
- Cleveland Health Ventures, LLC (Sanger Heart and Vascular Institute - Kings Mountain)
- Charles Rouse Clover, M.D.
- Jennifer Patterson Coleman, LMBT
- Anna Marie Colvin, LCMHC
- Community Living and Choices
- James Mitchell Costner, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.