Palace at Home Care Agency LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

PALACE AT HOME CARE AGENCY LLC

Practice address

4422 Austin Dekota Dr
Charlotte, NC 28269-2153

Phone

(704) 977-3211

NPI assigned

Aug 27, 2026

Organization subpart

No

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

Authorized official

Name

Beverly Davis Beverly Davis, DAVIS

Title

Administrator/Director

Phone

(704) 977-3211

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1787788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787788800000",
    "number": "1487561981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4422 AUSTIN DEKOTA DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282692153",
            "telephone_number": "704-977-3211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4422 AUSTIN DEKOTA DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282692153",
            "telephone_number": "704-977-3211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALACE AT HOME CARE AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-27",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "status": "A",
        "authorized_official_last_name": "BEVERLY DAVIS",
        "authorized_official_first_name": "BEVERLY DAVIS",
        "authorized_official_title_or_position": "ADMINISTRATOR/DIRECTOR",
        "authorized_official_telephone_number": "704-977-3211",
        "authorized_official_credential": "DAVIS"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diane Pak
• Grace E Pak, MD
• Katherine Sarah Pak, D.D.S.
• Tanisha Jennifer Pakanayeva, LCMHC
• Sridhar Earni Pal, MD
• Amy Hendricks Palacios, NP-C
• Jyothi Paladugu, M.D.
• Guhapriya Palaniswamy, MD
• Brian Joseph Palank Jr., MD
• Sandra Palasti, M.D.

• 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 Aug 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.