Active NPI
Phadality Home Care LLC
- Home Health Agency
- Charlotte, NC
National Provider Identifier
1275905762
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- HC3990
- Legal business name
- PHADALITY HOME CARE LLC
- Practice address
- 5104 Reagan Dr Ste 13
Charlotte, NC 28206-1393 - Phone
- (980) 858-2336
- NPI assigned
- Oct 23, 2015
- 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
- Alana D. Lord
- Title
- Owner
- Phone
- (704) 941-0371
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | HC3990 | NC | Primary |
Addresses
Primary practice location
5104 Reagan Dr Ste 13
Charlotte, NC 28206-1393
Mailing address
5104 Reagan Dr Ste 13
Charlotte, NC 28206-1393
Phone (980) 858-2336
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205224540 | Medicaid | NC |
National Provider Directory
National Provider DirectoryLocations
5104 Reagan Dr
Ste 13
Charlotte, NC 28206
Phone (980) 858-2336
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1445558400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1446249600000",
"number": "1275905762",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5104 REAGAN DR STE 13",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282061393",
"telephone_number": "980-858-2336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5104 REAGAN DR STE 13",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282061393",
"telephone_number": "980-858-2336"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHADALITY HOME CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-10-23",
"last_updated": "2015-10-31",
"status": "A",
"authorized_official_last_name": "LORD",
"authorized_official_first_name": "ALANA",
"authorized_official_middle_name": "D.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "704-941-0371"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NC",
"license": "HC3990",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1205224540",
"state": "NC"
}
],
"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 31, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.