Eula Home Care Agency, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

EULA HOME CARE AGENCY, LLC

Practice address

8430 University Exec Park Dr Ste 606
Charlotte, NC 28262-1349

Phone

(704) 549-8300

Fax

(704) 549-8822

NPI assigned

Feb 10, 2011

Organization subpart

No

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

Authorized official

Name

Ms. Davetta Nowlin Williams

Title

Agency Owner/Director

Phone

(704) 549-8300

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1297296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635206400000",
    "number": "1477850303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8430 UNIVERSITY EXEC PARK DR STE 606",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282621349",
            "telephone_number": "704-549-8300",
            "fax_number": "704-549-8822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8430 UNIVERSITY EXEC PARK DR STE 606",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282621349",
            "telephone_number": "704-549-8300",
            "fax_number": "704-549-8822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EULA HOME CARE AGENCY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-10",
        "last_updated": "2021-10-26",
        "certification_date": "2021-10-26",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "DAVETTA",
        "authorized_official_middle_name": "NOWLIN",
        "authorized_official_title_or_position": "AGENCY OWNER/DIRECTOR",
        "authorized_official_telephone_number": "704-549-8300",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "NC",
            "license": "HC4310",
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• In Home Supportive Care Agency in Charlotte, NC
• Providers in Charlotte, NC by specialty
• In Home Supportive Care Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.