Active NPI
Lake Norman Regional Medical Center-Home Health
Doing business as Lake Norman Home Health
- Home Health Agency
- Mooresville, NC
National Provider Identifier
1467489054
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- HC1325
- Legal business name
- LAKE NORMAN REGIONAL MEDICAL CENTER-HOME HEALTH
- Doing business as
- Lake Norman Home Health
- Practice address
- 170 Medical Park Rd
Suite 208
Mooresville, NC 28117-8541 - Phone
- (704) 660-4480
- Fax
- (704) 662-3312
- NPI assigned
- Jun 27, 2006
- Organization subpart
- Yes
- Parent organization
- HEALTH MANAGEMENT ASSOCIATES, INC/LAKE NORMAN REGIONAL MEDICAL CENTER
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Gregory Lowe
- Title
- Ceo
- Phone
- (704) 660-4010
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | HC1325 | NC | Primary |
Addresses
Primary practice location
170 Medical Park Rd
Suite 208
Mooresville, NC 28117-8541
Mailing address
170 Medical Park Rd
Suite 208
Mooresville, NC 28117-8541
Phone (704) 660-4480
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3407215 | Medicaid | NC |
Other names 1
- Lake Norman Home Health
National Provider Directory
National Provider Directory- Tax ID family
- Mooresville Hospital Ma
- Part of
- Mooresville Hospital Ma
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Surgical Center of Lake Norman
- Ambulatory Surgical Clinic/Center
- Mooresville, NC
- NPI 1811936933
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151366400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1243382400000",
"number": "1467489054",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "170 MEDICAL PARK RD",
"address_2": "SUITE 208",
"city": "MOORESVILLE",
"state": "NC",
"postal_code": "281178541",
"telephone_number": "704-660-4480",
"fax_number": "704-662-3312"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "170 MEDICAL PARK RD",
"address_2": "SUITE 208",
"city": "MOORESVILLE",
"state": "NC",
"postal_code": "281178541",
"telephone_number": "704-660-4480",
"fax_number": "704-662-3312"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAKE NORMAN REGIONAL MEDICAL CENTER-HOME HEALTH",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "HEALTH MANAGEMENT ASSOCIATES, INC/LAKE NORMAN REGIONAL MEDICAL CENTER",
"enumeration_date": "2006-06-27",
"last_updated": "2009-05-27",
"status": "A",
"authorized_official_last_name": "LOWE",
"authorized_official_first_name": "GREGORY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "704-660-4010",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NC",
"license": "HC1325",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3407215",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Lake Norman Home Health",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Mooresville, NC
- Lake Norman Pain and Weight Management, LLC
- Lake Norman Pediatrics, PA
- Lake Norman Plastic Surgery
- Lake Norman Psychiatry & Counseling, PLLC
- Lake Norman Pulmonary & Sleep, PA
- Lake Norman Sleep Center, PA
- Lake Norman Surgical Assisting
- Lake Norman Surgical Associates
- Lake Norman Urology PLLC
- Lakeshore Speech and Language Therapy, PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.