Personal Elite Homecare LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

PERSONAL ELITE HOMECARE LLC

Practice address

5736 N Tryon St Ste 227B
Charlotte, NC 28213-0820

Phone

(704) 970-0700

NPI assigned

Nov 12, 2019

Last updated

Nov 26, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Crystal WallNPI 1093296022

Title

Owner

Phone

(704) 724-7697

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Crystal Teresa Wall, FNP

  • Family Nurse Practitioner
  • Charlotte, NC
  • NPI 1093296022
  NPD Authorized official

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

{
    "created_epoch": "1573516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574726400000",
    "number": "1417592643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 SAWYERS MILL RD APT 105",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282621893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5736 N TRYON ST STE 227B",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282130820",
            "telephone_number": "704-970-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSONAL ELITE HOMECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-12",
        "last_updated": "2019-11-26",
        "status": "A",
        "authorized_official_last_name": "WALL",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-724-7697"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Personal Care Services of the Carolinas
• Personal Care Services of the Carolinas 1, LLC
• Personal Enrichment Counseling & Consulting Services, PLLC
• Personal Home Care of North Carolina, LLC
• Personal Home Care of North Carolina, LLC
• Personal Home Care of North Carolina, LLC
• Personal Touch Care Team, Inc

• In Home Supportive Care Agency in Charlotte, NC
• Providers in Charlotte, NC by specialty
• In Home Supportive Care Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2019; 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.