Organization Active NPI

Peak Homecare Agency LLC

Doing business as Peak Homecare Agency

  • In Home Supportive Care Agency
  • Charlotte, NC
National Provider Identifier
1356986830
Registry record updated Nov 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
PEAK HOMECARE AGENCY LLC
Doing business as
Peak Homecare Agency
Practice address
9700 Research Dr Ste 102
Charlotte, NC 28262-8569
Phone
(704) 900-6001
NPI assigned
Nov 8, 2019
Last updated
Nov 8, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2019

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

Authorized official

Name
Dr. Michael Ilodigwe, PHARMDNPI 1124318142
Title
Service Provider
Phone
(302) 559-2726

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

9700 Research Dr Ste 102
Charlotte, NC 28262-8569

Mailing address

2860 Freedom Dr Ste B
Charlotte, NC 28208-3856
Phone (302) 559-2726

Other names 1

  • Peak Homecare Agency Doing business as

National Provider Directory

National Provider Directory

Locations

9700 Research Dr
Ste 102
Charlotte, NC 28262
Phone (704) 900-6001

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1573171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573171200000",
    "number": "1356986830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2860 FREEDOM DR STE B",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282083856",
            "telephone_number": "302-559-2726",
            "fax_number": "704-220-0543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9700 RESEARCH DR STE 102",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282628569",
            "telephone_number": "704-900-6001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEAK HOMECARE AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-08",
        "last_updated": "2019-11-08",
        "status": "A",
        "authorized_official_last_name": "ILODIGWE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "SERVICE PROVIDER",
        "authorized_official_telephone_number": "302-559-2726",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Peak Homecare Agency",
            "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 Nov 8, 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.