Organization Active NPI

Integrated Care Services, LLC.

  • Home Health Agency
  • Charlotte, NC
National Provider Identifier
1336449099
Registry record updated Jan 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HC4183 Issued in NC
Legal business name
INTEGRATED CARE SERVICES, LLC.
Doing business as
Integrated Care Services, LLC.
Practice address
5500 Executive Center Dr Ste 238
Charlotte, NC 28212-8821
Phone
(980) 335-1160
Fax
(980) 265-1171
NPI assigned
Oct 28, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2019

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

Authorized official

Name
Mr. Onuoha Jonah Emerem
Title
Administrator/Director
Phone
(704) 421-0601

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HC4183 NC Primary

Addresses

Primary practice location

5500 Executive Center Dr Ste 238
Charlotte, NC 28212-8821

Mailing address

5500 Executive Center Dr Ste 238
Charlotte, NC 28212-8821
Phone (980) 335-1160

Other names 1

  • Integrated Care Services, LLC. Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Integrated Care Services 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.

Locations

5500 Executive Center Dr
Ste 238
Charlotte, NC 28212
Phone (704) 421-2346

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": "1288224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546387200000",
    "number": "1336449099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 EXECUTIVE CENTER DR STE 238",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282128821",
            "telephone_number": "980-335-1160",
            "fax_number": "980-265-1171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 EXECUTIVE CENTER DR STE 238",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282128821",
            "telephone_number": "980-335-1160",
            "fax_number": "980-265-1171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED CARE SERVICES, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-28",
        "last_updated": "2019-01-02",
        "status": "A",
        "authorized_official_last_name": "EMEREM",
        "authorized_official_first_name": "ONUOHA",
        "authorized_official_middle_name": "JONAH",
        "authorized_official_title_or_position": "ADMINISTRATOR/DIRECTOR",
        "authorized_official_telephone_number": "704-421-0601",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC4183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Integrated Care Services, LLC.",
            "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 Jan 2, 2019; 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.