Organization 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
Registry record updated May 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HC1325 Issued in NC
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 CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 27, 2009

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
3407215MedicaidNC

Other names 1

  • Lake Norman Home Health Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Mooresville Hospital Ma2 organizations share this tax ID, including this one
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.

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

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.

Verify at the official NPI Registry.