Organization Active NPI

Hernandez Healthcare Systems, LLC

  • Adult Care Home Facility
  • Albemarle, NC
National Provider Identifier
1548097207
Registry record updated Sep 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
HERNANDEZ HEALTHCARE SYSTEMS, LLC
Practice address
42912 Vickers Store Rd
Albemarle, NC 28001-8646
Phone
(704) 837-6440
NPI assigned
Sep 17, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2024

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

Authorized official

Name
Mr. Luis Ariel HernandezNPI 1134753601
Title
Owner/Ceo
Phone
(704) 837-6440

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X
Adult Care Home Facility 311ZA0620X Primary

Addresses

Primary practice location

42912 Vickers Store Rd
Albemarle, NC 28001-8646

Mailing address

4301 Ludi Mae CT
Mint Hill, NC 28227-6638
Phone (704) 837-6440

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1726531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726531200000",
    "number": "1548097207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 LUDI MAE CT",
            "city": "MINT HILL",
            "state": "NC",
            "postal_code": "282276638",
            "telephone_number": "704-837-6440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42912 VICKERS STORE RD",
            "city": "ALBEMARLE",
            "state": "NC",
            "postal_code": "280018646",
            "telephone_number": "704-837-6440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERNANDEZ HEALTHCARE SYSTEMS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-17",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "ARIEL",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "704-837-6440",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albemarle, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; 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.