Organization Active NPI

Expert Care at Home

  • In Home Supportive Care Agency
  • Charlotte, NC
National Provider Identifier
1255035804
Registry record updated Jul 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
EXPERT CARE AT HOME
Practice address
5511 Monroe Rd
Charlotte, NC 28212-5503
Phone
(704) 208-4479
NPI assigned
Mar 28, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2023

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

Authorized official

Name
Fanta Kaba GassamaNPI 1093378390
Title
RN
Phone
(484) 326-7294

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

5511 Monroe Rd
Charlotte, NC 28212-5503

Mailing address

5511 Monroe Rd
Charlotte, NC 28212-5503

National Provider Directory

National Provider Directory

Locations

5511 Monroe Rd
Charlotte, NC 28212
Phone (704) 208-4479

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1679961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688601600000",
    "number": "1255035804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5511 MONROE RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282125503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5511 MONROE RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282125503",
            "telephone_number": "704-208-4479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXPERT CARE AT HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-28",
        "last_updated": "2023-07-06",
        "certification_date": "2023-07-06",
        "status": "A",
        "authorized_official_last_name": "GASSAMA",
        "authorized_official_first_name": "FANTA",
        "authorized_official_middle_name": "KABA",
        "authorized_official_title_or_position": "RN",
        "authorized_official_telephone_number": "484-326-7294"
    },
    "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 6, 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.

Verify at the official NPI Registry.