NPIMap

Organization Active NPI

In Home Healthcare Professionals

  • In Home Supportive Care Agency
  • Charlotte, NC
National Provider Identifier
1255615746
Registry record updated Oct 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
HC4455 Issued in NC
Legal business name
IN HOME HEALTHCARE PROFESSIONALS
Practice address
1811 Sardis Rd N
220
Charlotte, NC 28270-1426
Phone
(704) 847-2898
NPI assigned
Oct 4, 2011
Last updated
Oct 4, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2011

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

Authorized official

Name
Mr. Michael Gaius Redic, RN
Title
Agency Director
Phone
(704) 756-7251

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X HC4455 NC Primary

Addresses

Primary practice location

1811 Sardis Rd N
220
Charlotte, NC 28270-1426

Mailing address

1811 Sardis Rd N
220
Charlotte, NC 28270-1426
Phone (704) 847-2898

National Provider Directory

National Provider Directory

Locations

1811 Sardis Rd N
Ste 220
Charlotte, NC 28270
Phone (704) 847-2898

NPI Registry JSON

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

{
    "created_epoch": "1317686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317686400000",
    "number": "1255615746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1811 SARDIS RD N",
            "address_2": "220",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282701426",
            "telephone_number": "704-847-2898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1811 SARDIS RD N",
            "address_2": "220",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282701426",
            "telephone_number": "704-847-2898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IN HOME HEALTHCARE PROFESSIONALS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-04",
        "last_updated": "2011-10-04",
        "status": "A",
        "authorized_official_last_name": "REDIC",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "GAIUS",
        "authorized_official_title_or_position": "AGENCY DIRECTOR",
        "authorized_official_telephone_number": "704-756-7251",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NC",
            "license": "HC4455",
            "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 Oct 4, 2011; 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.