Organization Active NPI

TDS Home Care Services LLC

  • In Home Supportive Care Agency
  • Charlotte, NC
National Provider Identifier
1376854562
Registry record updated Feb 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
TDS HOME CARE SERVICES LLC
Practice address
5513 Monroe Rd Ste 206
Charlotte, NC 28212-5503
Phone
(980) 337-1281
NPI assigned
Jun 23, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2021

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

Authorized official

Name
Ms. Jeannette Lovette Mingo
Title
Organizer
Phone
(704) 449-5182

Specialties & licenses 1

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

Addresses

Primary practice location

5513 Monroe Rd Ste 206
Charlotte, NC 28212-5503

Mailing address

PO Box 433
Harrisburg, NC 28075-0433
Phone (980) 337-1281

Other practice location 1

319 Melchor Ct SW
Concord, NC 28027-6368
Phone (704) 449-5182

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1277251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612742400000",
    "number": "1376854562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 433",
            "city": "HARRISBURG",
            "state": "NC",
            "postal_code": "280750433",
            "telephone_number": "980-337-1281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5513 MONROE RD STE 206",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282125503",
            "telephone_number": "980-337-1281"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "319 Melchor Ct SW",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "NC",
            "postal_code": "280276368",
            "country_code": "US",
            "telephone_number": "704-449-5182",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TDS HOME CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-23",
        "last_updated": "2021-02-08",
        "certification_date": "2021-02-08",
        "status": "A",
        "authorized_official_last_name": "MINGO",
        "authorized_official_first_name": "JEANNETTE",
        "authorized_official_middle_name": "LOVETTE",
        "authorized_official_title_or_position": "ORGANIZER",
        "authorized_official_telephone_number": "704-449-5182",
        "authorized_official_name_prefix": "Ms."
    },
    "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 Feb 8, 2021; 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.