Active NPI
Reassurance Home Health Aide
- Adult Care Home Facility
- Charlotte, NC
National Provider Identifier
1417386103
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Care Home Facility
- License
- 406971
- Legal business name
- REASSURANCE HOME HEALTH AIDE
- Practice address
- 4510 Christenbury Hills LN
Charlotte, NC 28269-0980 - Phone
- (704) 904-6246
- NPI assigned
- Nov 4, 2013
- 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
- Natalie A Frederick, CNA
- Title
- Owner
- Phone
- (704) 904-6246
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 |
|---|---|---|---|---|
| Adult Care Home Facility | 311ZA0620X | 406971 | NC | Primary |
Addresses
Primary practice location
4510 Christenbury Hills LN
Charlotte, NC 28269-0980
Mailing address
4510 Christenbury Hills LN
Charlotte, NC 28269-0980
Phone (704) 904-6246
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2412454366 | Medicaid | NC |
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.
-
- Home Health Aide
- Charlotte, NC
- NPI 1841629649
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383523200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1383523200000",
"number": "1417386103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4510 CHRISTENBURY HILLS LN",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282690980",
"telephone_number": "704-904-6246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4510 CHRISTENBURY HILLS LN",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282690980",
"telephone_number": "704-904-6246"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REASSURANCE HOME HEALTH AIDE",
"organizational_subpart": "NO",
"enumeration_date": "2013-11-04",
"last_updated": "2013-11-04",
"status": "A",
"authorized_official_last_name": "FREDERICK",
"authorized_official_first_name": "NATALIE",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "704-904-6246",
"authorized_official_credential": "CNA"
},
"taxonomies": [
{
"code": "311ZA0620X",
"taxonomy_group": "",
"desc": "Custodial Care Facility, Adult Care Home",
"state": "NC",
"license": "406971",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2412454366",
"state": "NC"
}
],
"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 Nov 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.