Organization Active NPI

Metrolina Home Care

  • In Home Supportive Care Agency
  • Charlotte, NC
National Provider Identifier
1417626995
Registry record updated Sep 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
METROLINA HOME CARE
Practice address
6201 Fairview Rd Ste 200
Charlotte, NC 28210-3297
Phone
(704) 585-8485
NPI assigned
Sep 8, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2021

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

Authorized official

Name
Mrs. Kamila Muminova, CSCM
Title
Agency Owner
Phone
(704) 585-8485

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

6201 Fairview Rd Ste 200
Charlotte, NC 28210-3297

Mailing address

6201 Fairview Rd Ste 200
Charlotte, NC 28210-3297
Phone (704) 585-8485

Other names 1

  • Metrolina Home Care Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL SwiftOps Other

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1631059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631059200000",
    "number": "1417626995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6201 FAIRVIEW RD STE 200",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282103297",
            "telephone_number": "704-585-8485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6201 FAIRVIEW RD STE 200",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282103297",
            "telephone_number": "704-585-8485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METROLINA HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-08",
        "last_updated": "2021-09-08",
        "certification_date": "2021-09-08",
        "status": "A",
        "authorized_official_last_name": "MUMINOVA",
        "authorized_official_first_name": "KAMILA",
        "authorized_official_title_or_position": "AGENCY OWNER",
        "authorized_official_telephone_number": "704-585-8485",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CSCM"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "SwiftOps",
            "affiliation": "N",
            "endpointDescription": "workflow, scheduling and payroll tool",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "document patients initial assessment results and other notes",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6201 Fairview Rd Ste 200",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282103297",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Metrolina Home Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Sep 8, 2021; 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.