Active NPI
State of North Carolina Home Care
- Home Health Agency
- Charlotte, NC
National Provider Identifier
1326935099
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- STATE OF NORTH CAROLINA HOME CARE
- Practice address
- 227 W 4TH St # 128
Charlotte, NC 28202-1545 - Phone
- (267) 784-5115
- Fax
- (980) 518-6801
- NPI assigned
- Jun 23, 2025
- 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
- Mr. Andrew M Brooker
- Title
- Owner/Ceo
- Phone
- (267) 784-5115
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
227 W 4TH St # 128
Charlotte, NC 28202-1545
Mailing address
227 W 4TH St # 128
Charlotte, NC 28202-1545
Phone (267) 784-5115
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1750636800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1773964800000",
"number": "1326935099",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "227 W 4TH ST # 128",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282021545",
"telephone_number": "267-784-5115",
"fax_number": "980-518-6801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "227 W 4TH ST # 128",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282021545",
"telephone_number": "267-784-5115",
"fax_number": "980-518-6801"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STATE OF NORTH CAROLINA HOME CARE",
"organizational_subpart": "NO",
"enumeration_date": "2025-06-23",
"last_updated": "2026-03-20",
"certification_date": "2026-03-20",
"status": "A",
"authorized_official_last_name": "BROOKER",
"authorized_official_first_name": "ANDREW",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER/CEO",
"authorized_official_telephone_number": "267-784-5115",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"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, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.