NPIMap

Organization Active NPI

Individua;Ized Care, Inc.

  • Case Management Agency
  • Charlotte, NC
National Provider Identifier
1639331648
Registry record updated Jun 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
INDIVIDUA;IZED CARE, INC.
Practice address
464 Eastway Dr
Charlotte, NC 28205-1402
Phone
(704) 369-0080
Fax
(704) 369-0084
NPI assigned
Jun 30, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2008

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

Authorized official

Name
Ms. Djarris Yvonne Harris
Title
Cfo
Phone
(704) 369-0080

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

464 Eastway Dr
Charlotte, NC 28205-1402

Mailing address

464 Eastway Dr
Charlotte, NC 28205-1402
Phone (704) 369-0080

National Provider Directory

National Provider Directory
Tax ID family
Individuaized Care Inc2 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

464 Eastway Dr
Charlotte, NC 28205
Phone (704) 369-0080

NPI Registry JSON

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

{
    "created_epoch": "1214784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214784000000",
    "number": "1639331648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "464 EASTWAY DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282051402",
            "telephone_number": "704-369-0080",
            "fax_number": "704-369-0084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "464 EASTWAY DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282051402",
            "telephone_number": "704-369-0080",
            "fax_number": "704-369-0084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIVIDUA;IZED CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-30",
        "last_updated": "2008-06-30",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "DJARRIS",
        "authorized_official_middle_name": "YVONNE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "704-369-0080",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jun 30, 2008; 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.