Organization Active NPI

Caring Hearts of Grace Homecare Agency, LLC

  • Home Health Agency
  • Concord, NC
National Provider Identifier
1598430100
Registry record updated Dec 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
CARING HEARTS OF GRACE HOMECARE AGENCY, LLC
Practice address
294 Church St N
Concord, NC 28025-4571
Phone
(980) 237-8845
Fax
(980) 237-8845
NPI assigned
Aug 16, 2021
Last updated
Dec 19, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2022

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

Authorized official

Name
Lequitha Simmons
Title
Owner
Phone
(980) 334-5367

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary
In Home Supportive Care Agency 253Z00000X NU

Addresses

Primary practice location

294 Church St N
Concord, NC 28025-4571

Mailing address

1085 Hearth LN SW
Concord, NC 28025-8809
Phone (980) 237-8845

National Provider Directory

National Provider Directory

Locations

294 Church St N
Concord, NC 28025
Phone (704) 918-4541

NPI Registry JSON

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

{
    "created_epoch": "1629072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671408000000",
    "number": "1598430100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1085 HEARTH LN SW",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280258809",
            "telephone_number": "980-237-8845",
            "fax_number": "980-237-8845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "294 CHURCH ST N",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280254571",
            "telephone_number": "980-237-8845",
            "fax_number": "980-237-8845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARING HEARTS OF GRACE HOMECARE AGENCY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-16",
        "last_updated": "2022-12-19",
        "certification_date": "2022-12-19",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "LEQUITHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "980-334-5367"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 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.

Verify at the official NPI Registry.