My Omni Housecalls, Inc

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

License

600053 Issued in NC

Legal business name

MY OMNI HOUSECALLS, INC

Practice address

10926 David Taylor Drive
Suite 120
Charlotte, NC 28262

Phone

(336) 706-6614

Fax

(336) 450-1846

NPI assigned

Apr 13, 2015

Organization subpart

No

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

Authorized official

Name

Ms. Mary Motley Hatchett, A-GNPNPI 1578544409

Title

Owner

Phone

(336) 706-6614

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/HGJIDD

Practitioners 1

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

• Mary Motley Hatchett, A-GNP

  • Adult Health Nurse Practitioner
  • Charlotte, NC
  • NPI 1578544409
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1428883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664928000000",
    "number": "1346636768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10926 DAVID TAYLOR DRIVE",
            "address_2": "SUITE 120",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28262",
            "telephone_number": "336-706-6614",
            "fax_number": "336-450-1846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10926 DAVID TAYLOR DRIVE",
            "address_2": "SUITE 120",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28262",
            "telephone_number": "336-706-6614",
            "fax_number": "336-450-1846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY OMNI HOUSECALLS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-13",
        "last_updated": "2022-10-05",
        "certification_date": "2022-10-05",
        "status": "A",
        "authorized_official_last_name": "HATCHETT",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "MOTLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-706-6614",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "A-GNP"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "NC",
            "license": "600053",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7000151",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• My Positive Transformation
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• Exclusive Provider Organization in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Exclusive Provider Organization in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.