Active NPI
Theracare Health & Wellness
- Home Health Agency
- Charlotte, NC
National Provider Identifier
1295145563
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- THERACARE HEALTH & WELLNESS
- Practice address
- 101 S Tryon St Ste 2700
Charlotte, NC 28280-0005 - Phone
- (704) 749-8474
- NPI assigned
- May 7, 2014
- 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
- Gregory Pippins
- Title
- Member LLC
- Phone
- (704) 930-9862
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary | ||
| Nursing Care Agency | 251J00000X | HC2834 | NC | |
| In Home Supportive Care Agency | 253Z00000X | HC2834 | NC | |
| Durable Medical Equipment & Medical Supplies | 332B00000X |
Addresses
Primary practice location
101 S Tryon St Ste 2700
Charlotte, NC 28280-0005
Mailing address
PO Box 5423
Clover, SC 29710-5423
Phone (704) 930-9862
Other practice location 1
2015 Ayrsley Town Blvd
Suite 202
Charlotte, NC 28273-4067
Phone (704) 671-8251
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295145563 | Other | NC | WELLCARE |
| 1295145563 | Other | NC | AMERIHEALTH CARITAS |
| 1295145563 | Other | NC | UNITED HEALTHCARE |
| 1295145563 | Other | NC | CAROLINA COMPLETE HEALTH |
| 1295145563 | Other | NC | HEALTHY BLUE |
| 1295145563 | Medicaid | NC |
National Provider Directory
National Provider Directory- Tax ID family
- Theracare Health and Wellness LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- Charlotte, NC
- NPI 1861566903
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1399420800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1631491200000",
"number": "1295145563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5423",
"city": "CLOVER",
"state": "SC",
"postal_code": "297105423",
"telephone_number": "704-930-9862"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 S TRYON ST STE 2700",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282800005",
"telephone_number": "704-749-8474"
}
],
"practiceLocations": [
{
"address_1": "2015 Ayrsley Town Blvd",
"address_2": "Suite 202",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282734067",
"country_code": "US",
"telephone_number": "704-671-8251",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "THERACARE HEALTH & WELLNESS",
"organizational_subpart": "NO",
"enumeration_date": "2014-05-07",
"last_updated": "2021-09-13",
"certification_date": "2021-09-13",
"status": "A",
"authorized_official_last_name": "PIPPINS",
"authorized_official_first_name": "GREGORY",
"authorized_official_title_or_position": "MEMBER LLC",
"authorized_official_telephone_number": "704-930-9862"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": "NC",
"license": "HC2834",
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "NC",
"license": "HC2834",
"primary": false
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE",
"identifier": "1295145563",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH CARITAS",
"identifier": "1295145563",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "1295145563",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAROLINA COMPLETE HEALTH",
"identifier": "1295145563",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHY BLUE",
"identifier": "1295145563",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1295145563",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
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- Elisabeth Neely Theodossiou, OTR/L
- Ashley Theogene, COTA
- Theracare Health and Wellness, LLC
- Therapeutic Community Concept LLC
- Therapeutic Community Connections, PLLC
- Therapeutic Embrace Occupational Therapy Services
- Therapeutic Encouraging Academic Motivational Support Services LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.