Queen City Compassionate Home Care Agency LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

QUEEN CITY COMPASSIONATE HOME CARE AGENCY LLC

Practice address

701 Wilderness Trail Dr
Charlotte, NC 28214-5008

Phone

(704) 258-4831

NPI assigned

Nov 12, 2024

Organization subpart

No

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

Authorized official

Name

Ms. Bobbie Jean Grant

Title

Owner

Phone

(704) 258-4831

Specialties & licenses 1

Addresses

Other names 1

• queen city compassionate home care agency Former legal business name

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

{
    "created_epoch": "1731369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731369600000",
    "number": "1447074901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 WILDERNESS TRAIL DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282145008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 WILDERNESS TRAIL DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282145008",
            "telephone_number": "704-258-4831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEEN CITY COMPASSIONATE HOME CARE AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-12",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A",
        "authorized_official_last_name": "GRANT",
        "authorized_official_first_name": "BOBBIE",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-258-4831",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "queen city compassionate home care agency",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Home Health Agency in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Home Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2024; 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.