Organization Active NPI

Physician Home Care

Doing business as Physicians Home Care

  • Home Health Agency
  • Charlotte, NC
National Provider Identifier
1619100062
Registry record updated Sep 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PHYSICIAN HOME CARE
Doing business as
Physicians Home Care
Practice address
1801 N Tryon St # 314
Charlotte, NC 28206-2704
Phone
(704) 737-6126
NPI assigned
Sep 2, 2009
Last updated
Sep 2, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2009

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

Authorized official

Name
Dr. Reginald Barnette Richardson Jr., DPMNPI 1104083427
Title
Podiatrists
Phone
(704) 737-6126

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NC Primary

Addresses

Primary practice location

1801 N Tryon St # 314
Charlotte, NC 28206-2704

Mailing address

1801 N Tryon St # 314
Charlotte, NC 28206-2704
Phone (704) 737-6126

Other identifiers 1

IdentifierTypeStateIssuer
7704960MedicaidNC

Other names 1

  • PHYSICIANS HOME CARE Doing business as

National Provider Directory

National Provider Directory

Locations

1801 N Tryon St
#314
Charlotte, NC 28206
Phone (704) 737-6126

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.

NPI Registry JSON

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

{
    "created_epoch": "1251849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251849600000",
    "number": "1619100062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 N TRYON ST # 314",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282062704",
            "telephone_number": "704-737-6126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 N TRYON ST # 314",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282062704",
            "telephone_number": "704-737-6126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIAN HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-02",
        "last_updated": "2009-09-02",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "REGINALD",
        "authorized_official_middle_name": "BARNETTE",
        "authorized_official_title_or_position": "PODIATRISTS",
        "authorized_official_telephone_number": "704-737-6126",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7704960",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PHYSICIANS HOME CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 2, 2009; 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.