Active NPI
CMT Home Health Agency
- In Home Supportive Care Agency
- Concord, NC
National Provider Identifier
1609163138
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- CMT HOME HEALTH AGENCY
- Practice address
- 2604 S Ridge Ave
Concord, NC 28025-2852 - Phone
- (704) 262-6914
- Fax
- (800) 886-8442
- NPI assigned
- Jul 5, 2011
- Last updated
- Jul 5, 2011
- Organization subpart
- Yes
- Parent organization
- CABARRUS-MECKLENBURG TRANSPORT
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Augustine Kotee, OWNER
- Title
- Member
- Phone
- (704) 262-6914
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | NU | ||
| In Home Supportive Care Agency | 253Z00000X | NU | Primary | |
| In Home Supportive Care Agency | 253Z00000X | NC | ||
| PACE Provider Organization | 251T00000X | NU |
Addresses
Primary practice location
2604 S Ridge Ave
Concord, NC 28025-2852
Mailing address
2604 S Ridge Ave
Concord, NC 28025-2852
Phone (704) 262-6914
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3418940 | Medicaid | NC |
National Provider Directory
National Provider Directory- Part of
- Cabarrus-Mecklenburg Transport LLC
Locations
2604 S Ridge Ave
Concord, NC 28025
Phone (704) 262-6914
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Non-emergency Medical Transport (VAN)
- Concord, NC
- NPI 1598061582
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309824000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1309824000000",
"number": "1609163138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2604 S RIDGE AVE",
"city": "CONCORD",
"state": "NC",
"postal_code": "280252852",
"telephone_number": "704-262-6914",
"fax_number": "800-886-8442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2604 S RIDGE AVE",
"city": "CONCORD",
"state": "NC",
"postal_code": "280252852",
"telephone_number": "704-262-6914",
"fax_number": "800-886-8442"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CMT HOME HEALTH AGENCY",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "CABARRUS-MECKLENBURG TRANSPORT",
"enumeration_date": "2011-07-05",
"last_updated": "2011-07-05",
"status": "A",
"authorized_official_last_name": "KOTEE",
"authorized_official_first_name": "AUGUSTINE",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "704-262-6914",
"authorized_official_credential": "OWNER"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "NC",
"license": null,
"primary": false
},
{
"code": "251T00000X",
"taxonomy_group": "",
"desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3418940",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Concord, NC
- CMC-Northeast, Inc. (Concord Internal Medicine)
- CMC-Northeast, Inc. (NorthEast Psychiatric Services)
- CMC-Northeast, Inc. (NorthEast Transition of Care)
- CMC-Northeast, Inc. (Cabarrus County Employee Health Center)
- CMC-Northeast, Inc. (Northeast Pediatric Endocrinology)
- CNC - Access Inc (All Ways Caring HomeCare)
- CNC / Access, Inc. (ResCare HomeCare)
- CNC Access Inc
- CNC Access Inc
- Melissa M Coale, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.