Organization Active NPI

Theracare Health & Wellness

  • Home Health Agency
  • Charlotte, NC
National Provider Identifier
1295145563
Registry record updated Sep 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on Sep 13, 2021

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1295145563OtherNCWELLCARE
1295145563OtherNCAMERIHEALTH CARITAS
1295145563OtherNCUNITED HEALTHCARE
1295145563OtherNCCAROLINA COMPLETE HEALTH
1295145563OtherNCHEALTHY BLUE
1295145563MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Theracare Health and Wellness LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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": []
}

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 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.

Verify at the official NPI Registry.