Organization Active NPI

Carl G. McCraw Jr & Co

  • Home Health Agency
  • Charlotte, NC
National Provider Identifier
1285709808
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HC0029 Issued in NC
Legal business name
CARL G. MCCRAW JR & CO
Doing business as
Eldercare
Practice address
3707 Latrobe Dr
Suite 460
Charlotte, NC 28211-1164
Phone
(704) 366-7054
Fax
(704) 365-8181
NPI assigned
Nov 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Carl G. McCraw Jr.
Title
President
Phone
(704) 366-7054

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HC0029 NC Primary
Home Health Agency 251E00000X HC0028 NC

Addresses

Primary practice location

3707 Latrobe Dr
Suite 460
Charlotte, NC 28211-1164

Mailing address

3707 Latrobe Dr
Suite 460
Charlotte, NC 28211-1164
Phone (704) 366-7054

Other identifiers 2

IdentifierTypeStateIssuer
3408448MedicaidNC
6600175MedicaidNC

Other names 1

  • Eldercare Doing business as

National Provider Directory

National Provider Directory

Locations

3707 Latrobe Dr
Ste 460
Charlotte, NC 28211
Phone (704) 366-6522

NPI Registry JSON

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285709808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3707 LATROBE DR",
            "address_2": "SUITE 460",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282111164",
            "telephone_number": "704-366-7054",
            "fax_number": "704-365-8181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3707 LATROBE DR",
            "address_2": "SUITE 460",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282111164",
            "telephone_number": "704-366-7054",
            "fax_number": "704-365-8181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARL G. MCCRAW JR & CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCCRAW",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-366-7054",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC0029",
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC0028",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3408448",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6600175",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eldercare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 22, 2020; 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.