Active NPI
Icare Home Health Solutions, Inc
- In Home Supportive Care Agency
- Charlotte, NC
National Provider Identifier
1588209738
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- ICARE HOME HEALTH SOLUTIONS, INC
- Practice address
- 10130 Mallard Creek Rd Ste 300
Charlotte, NC 28262-6001 - Phone
- (980) 322-7279
- Fax
- (866) 908-6945
- NPI assigned
- Nov 12, 2019
- Organization subpart
- Yes
- Parent organization
- ICARE HOME HEALTH SOLUTIONS, INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Montoya M Christian
- Title
- Ceo
- Phone
- (980) 322-7279
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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | |||
| In Home Supportive Care Agency | 253Z00000X | Primary | ||
| Home Health Aide | 374U00000X |
Addresses
Primary practice location
10130 Mallard Creek Rd Ste 300
Charlotte, NC 28262-6001
Mailing address
10130 Mallard Creek Rd Ste 300
Charlotte, NC 28262-6001
Phone (980) 322-7279
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NC | Medicaid | NC |
National Provider Directory
National Provider Directory- Part of
- Icare Home Health Solutions Inc
Locations
10926 David Taylor Dr
Ste 200
Charlotte, NC 28262
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Home Health Aide
- Charlotte, NC
- NPI 1588226799
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1573516800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1642809600000",
"number": "1588209738",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10130 MALLARD CREEK RD STE 300",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282626001",
"telephone_number": "980-322-7279",
"fax_number": "866-908-6945"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10130 MALLARD CREEK RD STE 300",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282626001",
"telephone_number": "980-322-7279",
"fax_number": "866-908-6945"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ICARE HOME HEALTH SOLUTIONS, INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ICARE HOME HEALTH SOLUTIONS, INC",
"enumeration_date": "2019-11-12",
"last_updated": "2022-01-22",
"certification_date": "2022-01-22",
"status": "A",
"authorized_official_last_name": "CHRISTIAN",
"authorized_official_first_name": "MONTOYA",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "980-322-7279",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
},
{
"code": "374U00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Home Health Aide",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "NC",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.