His Home Care Agency

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

HIS HOME CARE AGENCY

Practice address

862 Southwest Dr
Davidson, NC 28036-7910

Phone

(980) 229-5041

Fax

(980) 226-5158

NPI assigned

Jun 29, 2009

Organization subpart

No

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

Authorized official

Name

Glenda Lee Hansley

Title

Agency Director

Phone

(980) 226-5041

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1246233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246233600000",
    "number": "1528296555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 BEATTIES FORD RD STE E",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282164573",
            "telephone_number": "980-229-8054",
            "fax_number": "980-226-5158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "862 SOUTHWEST DR",
            "city": "DAVIDSON",
            "state": "NC",
            "postal_code": "280367910",
            "telephone_number": "980-229-5041",
            "fax_number": "980-226-5158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIS HOME CARE AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-29",
        "last_updated": "2009-06-29",
        "status": "A",
        "authorized_official_last_name": "HANSLEY",
        "authorized_official_first_name": "GLENDA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "AGENCY DIRECTOR",
        "authorized_official_telephone_number": "980-226-5041"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Carolyn Honea, IBCLC
• Christopher Hood, PHARMD

• Home Health Agency in Davidson, NC
• Providers in Davidson, 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 29, 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.