Piedmont Living Assistance Services, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

HC2287 Issued in NC

Legal business name

PIEDMONT LIVING ASSISTANCE SERVICES, INC.

Doing business as

Visiting Angels of Charlotte
Visiting Angels, Living Assistance Services

Practice address

125 Floyd Smith Office Park Dr Ste 180
Charlotte, NC 28262-1601

Phone

(704) 549-4010

Fax

(704) 549-4070

NPI assigned

Feb 22, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Jill B. Stewart

Title

Director

Phone

(704) 549-4010

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 2

• Visiting Angels of Charlotte Doing business as
• Visiting Angels, Living Assistance Services Doing business as

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585180800000",
    "number": "1396870077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 FLOYD SMITH DR",
            "address_2": "SUITE 180",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282621526",
            "telephone_number": "704-549-4010",
            "fax_number": "704-549-4070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 FLOYD SMITH OFFICE PARK DR STE 180",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282621601",
            "telephone_number": "704-549-4010",
            "fax_number": "704-549-4070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIEDMONT LIVING ASSISTANCE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2020-03-26",
        "certification_date": "2020-03-26",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "JILL",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "704-549-4010",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC2287",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3409535",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "030083",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1396870077",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC DHHS-DFS LICENSE",
            "identifier": "HC2287",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Visiting Angels of Charlotte",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Visiting Angels, Living Assistance Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Home Health Agency in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Home Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2020; 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.