Spiirit Home Care Agency

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

HC4473 Issued in NC

Legal business name

SPIIRIT HOME CARE AGENCY

Practice address

9635 Southern Pine Blvd Ste 120
Charlotte, NC 28273-5558

Phone

(704) 965-0546

Fax

(704) 749-3862

NPI assigned

Nov 1, 2011

Organization subpart

No

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

Authorized official

Name

Beverly Rena Spencer

Title

Owner/Ceo

Phone

(704) 965-0546

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1320105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355788800000",
    "number": "1639455967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9635 SOUTHERN PINE BLVD STE 120",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282735558",
            "telephone_number": "704-965-0546",
            "fax_number": "704-749-3862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9635 SOUTHERN PINE BLVD STE 120",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282735558",
            "telephone_number": "704-965-0546",
            "fax_number": "704-749-3862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPIIRIT HOME CARE AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-01",
        "last_updated": "2012-12-18",
        "status": "A",
        "authorized_official_last_name": "SPENCER",
        "authorized_official_first_name": "BEVERLY",
        "authorized_official_middle_name": "RENA",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "704-965-0546"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NC",
            "license": "HC4473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordan Spennato, DPT
• Marianna Spero, LAT, ATC
• Stephen Charles Spiegler, DDS
• Pati Ann Spielmann, RD, LDN, CDE
• Lynne M Spies, SLP
• Delaney Spiker
• Janelle Marie Spikes, LCSWA
• Emilie Spillman, PHARMD
• Sharlise Spindle, LCSW, LCAS
• Giancarlo Spinelli, EMT-P

• In Home Supportive Care Agency in Charlotte, NC
• Providers in Charlotte, NC by specialty
• In Home Supportive Care Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2012; 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.