Organization Active NPI

Anjies Home Care LLC

  • In Home Supportive Care Agency
  • Charlotte, NC
National Provider Identifier
1306548896
Registry record updated Mar 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
ANJIES HOME CARE LLC
Practice address
639 Old Little Rock Rd
Charlotte, NC 28214-1944
Phone
(508) 840-2926
NPI assigned
Mar 20, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2023

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

Authorized official

Name
Nina FombuhNPI 1932595147
Title
Owner/President
Phone
(508) 840-2926

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

639 Old Little Rock Rd
Charlotte, NC 28214-1944

Mailing address

639 Old Little Rock Rd
Charlotte, NC 28214-1944
Phone (508) 840-2926

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1679270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679270400000",
    "number": "1306548896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "639 OLD LITTLE ROCK RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282141944",
            "telephone_number": "508-840-2926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "639 OLD LITTLE ROCK RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282141944",
            "telephone_number": "508-840-2926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANJIES HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-20",
        "last_updated": "2023-03-20",
        "certification_date": "2023-03-20",
        "status": "A",
        "authorized_official_last_name": "FOMBUH",
        "authorized_official_first_name": "NINA",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "508-840-2926"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "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 Mar 20, 2023; 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.