Organization Active NPI

Pro Care Home Care LLC

  • In Home Supportive Care Agency
  • Gastonia, NC
National Provider Identifier
1598120099
Registry record updated Dec 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
PRO CARE HOME CARE LLC
Practice address
602 Bessemer City Rd
Gastonia, NC 28052-1313
Phone
(704) 706-7075
NPI assigned
Dec 28, 2015
Last updated
Dec 28, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2015

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

Authorized official

Name
Ms. Tiffany Kendall
Title
Director
Phone
(704) 706-7075

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X NU Primary

Addresses

Primary practice location

602 Bessemer City Rd
Gastonia, NC 28052-1313

Mailing address

1741 W Main St
Albemarle, NC 28001-4537

National Provider Directory

National Provider Directory
Tax ID family
Pro Care Home Care LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

602 Bessemer City Rd
Gastonia, NC 28052
Phone (704) 706-7075

NPI Registry JSON

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

{
    "created_epoch": "1451260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451260800000",
    "number": "1598120099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1741 W MAIN ST",
            "city": "ALBEMARLE",
            "state": "NC",
            "postal_code": "280014537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 BESSEMER CITY RD",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280521313",
            "telephone_number": "704-706-7075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRO CARE HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-28",
        "last_updated": "2015-12-28",
        "status": "A",
        "authorized_official_last_name": "KENDALL",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "704-706-7075",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gastonia, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2015; 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.