NPIMap

Organization Active NPI

Dedicated Home Services Inc

Doing business as Interim HealthCare of the Carolinas

  • Nursing Care Agency
  • Mooresville, NC
National Provider Identifier
1407393598
Registry record updated Apr 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
License
NP4399 Issued in NC
Legal business name
DEDICATED HOME SERVICES INC
Doing business as
Interim HealthCare of the Carolinas
Practice address
425 E Statesville Ave Ste 101
Mooresville, NC 28115-2533
Phone
(704) 658-0555
Fax
(866) 238-8409
NPI assigned
Jan 26, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2025

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

Authorized official

Name
Mr. William Bogage
Title
Ceo
Phone
(704) 658-0555

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X NP4399 NC Primary
In Home Supportive Care Agency 253Z00000X

Addresses

Primary practice location

425 E Statesville Ave Ste 101
Mooresville, NC 28115-2533

Mailing address

425 E Statesville Ave Ste 101
Mooresville, NC 28115-2533
Phone (704) 658-5555

Other names 1

  • Interim HealthCare of the Carolinas Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dedicated Home Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1485388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744675200000",
    "number": "1407393598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 E STATESVILLE AVE STE 101",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281152533",
            "telephone_number": "704-658-5555",
            "fax_number": "866-238-8409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 E STATESVILLE AVE STE 101",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281152533",
            "telephone_number": "704-658-0555",
            "fax_number": "866-238-8409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEDICATED HOME SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-26",
        "last_updated": "2025-04-15",
        "certification_date": "2025-04-15",
        "status": "A",
        "authorized_official_last_name": "BOGAGE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "704-658-0555",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "NC",
            "license": "NP4399",
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Interim HealthCare of the Carolinas",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Interim HealthCare of the Carolinas",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mooresville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2025; 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.