Intercare Home Health Service LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

208IH0002X Issued in NC

Legal business name

INTERCARE HOME HEALTH SERVICE LLC

Practice address

311 W 24TH Street
311 W 24TH Street
Charlotte, NC 28206

Phone

(704) 332-9880

Fax

(704) 332-9890

NPI assigned

Jan 15, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Ngozi Nnaji, RNNPI 1346461431

Title

Director

Phone

(704) 332-9880

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 1

• Intercare (Home) Heath Services Former legal business name

Practitioners 1

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

• Ngozi Nnaji, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Waxhaw, NC
  • NPI 1346461431
  NPD Authorized official

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

{
    "created_epoch": "1200355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700611200000",
    "number": "1366628885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 W 24TH STREET",
            "address_2": "311 W 24 STREET",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28206",
            "telephone_number": "704-332-9880",
            "fax_number": "704-332-9890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 W 24TH STREET",
            "address_2": "311 W 24TH STREET",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28206",
            "telephone_number": "704-332-9880",
            "fax_number": "704-332-9890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERCARE HOME HEALTH SERVICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-15",
        "last_updated": "2023-11-22",
        "status": "A",
        "authorized_official_last_name": "NNAJI",
        "authorized_official_first_name": "NGOZI",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "704-332-9880",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "208IH0002X",
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1366628885",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6601558",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Intercare (Home) Heath Services",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 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.

Verify at the official NPI Registry.