Organization Active NPI

Reassurance Home Health Aide

  • Adult Care Home Facility
  • Charlotte, NC
National Provider Identifier
1417386103
Registry record updated Nov 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
406971 Issued in NC
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

Updated by the provider on Nov 4, 2013

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

Authorized official

Name
Natalie A Frederick, CNANPI 1841629649
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2412454366MedicaidNC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

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.

Verify at the official NPI Registry.