Active NPI
Simple Changes Home Care LLC
- In Home Supportive Care Agency
- Charlotte, NC
National Provider Identifier
1366130221
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- SIMPLE CHANGES HOME CARE LLC
- Practice address
- 8648 Old Potters Rd
Charlotte, NC 28269-0927 - Phone
- (704) 661-9654
- NPI assigned
- Apr 28, 2023
- 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
- Tahara Nicole Jones
- Title
- Owner
- Phone
- (704) 661-9654
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Primary |
Addresses
Primary practice location
8648 Old Potters Rd
Charlotte, NC 28269-0927
Mailing address
8648 Old Potters Rd
Charlotte, NC 28269-0927
Phone (704) 661-9654
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Addiction (Substance Use Disorder) Counselor
- Charlotte, NC
- NPI 1770716847
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682640000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1682640000000",
"number": "1366130221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8648 OLD POTTERS RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282690927",
"telephone_number": "704-661-9654"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8648 OLD POTTERS RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282690927",
"telephone_number": "704-661-9654"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SIMPLE CHANGES HOME CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-04-28",
"last_updated": "2023-04-28",
"certification_date": "2023-04-28",
"status": "A",
"authorized_official_last_name": "JONES",
"authorized_official_first_name": "TAHARA",
"authorized_official_middle_name": "NICOLE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "704-661-9654"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"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 Apr 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.