Organization Active NPI

Peak Homecare Agency LLC

  • 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
Practice address
9700 Research Dr Ste 102
Charlotte, NC 28262-8569
Phone
(704) 900-6001
NPI assigned
Nov 8, 2019
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, PHARMD
Title
Service Provider
Phone
(302) 559-2726

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

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.