Tabono Cap Services

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

HC4110 Issued in NC

Legal business name

TABONO CAP SERVICES

Practice address

16930 W Catawba Ave
Suite 100-C
Cornelius, NC 28031-5638

Phone

(704) 892-1300

Fax

(704) 892-1505

NPI assigned

May 24, 2011

Organization subpart

Yes

Parent organization

TABONO CARE SERVICESAs reported in NPPES

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

Authorized official

Name

Ms. Tamara D Lewis

Title

Owner

Phone

(704) 892-1300

Specialties & licenses 3

Addresses

Other identifiers 1

Part of

Tabono Cap Services

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Tabono Care Services

  • In Home Supportive Care Agency
  • Charlotte, NC
  • NPI 1104062967
  NPPES parent name

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

{
    "created_epoch": "1306195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307664000000",
    "number": "1497048417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 480428",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282695320",
            "telephone_number": "704-892-1300",
            "fax_number": "704-892-1505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16930 W CATAWBA AVE",
            "address_2": "SUITE 100-C",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280315638",
            "telephone_number": "704-892-1300",
            "fax_number": "704-892-1505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TABONO CAP SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TABONO CARE SERVICES",
        "enumeration_date": "2011-05-24",
        "last_updated": "2011-06-10",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-892-1300",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC4110",
            "primary": true
        },
        {
            "code": "3747A0650X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Attendant Care Provider",
            "state": "NC",
            "license": "HC4110",
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": "NC",
            "license": "HC4110",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3418923",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren E Sussman, LCSW
• Melinda Sweet
• Daniel Swiger
• William C. Sykes III
• Ava Rohloff Szafranski
• Wendy G Talley, M.D.
• Ariel Talts, D.O.
• Michael A. Tanis, ED.S, LMFT
• Tapas P. Patel, DDS, PLLC
• Tessa Tauchert

• Home Health Agency in Cornelius, NC
• Providers in Cornelius, NC by specialty
• Home Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2011; 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.