Exodus Home Care Company

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

EXODUS HOME CARE COMPANY

Practice address

809 Westmere Ave # B183
Charlotte, NC 28208-5342

Phone

(980) 316-6034

NPI assigned

May 17, 2023

Organization subpart

No

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

Authorized official

Name

Maurice Young

Title

Owner

Phone

(980) 246-5725

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1684281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684281600000",
    "number": "1457042897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6904 PLEASANT GROVE RD # B183",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282161319",
            "telephone_number": "980-246-5725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 WESTMERE AVE # B183",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282085342",
            "telephone_number": "980-316-6034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXODUS HOME CARE COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-17",
        "last_updated": "2023-05-17",
        "certification_date": "2023-05-17",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "MAURICE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "980-246-5725"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2023; 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.