Organization Active NPI

PRG Cap Services

  • Home Health Agency
  • Charlotte, NC
National Provider Identifier
1639493463
Registry record updated Mar 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HC3843 Issued in NC
Legal business name
PRG CAP SERVICES
Practice address
8821 University East Dr
Suite #115
Charlotte, NC 28213-4200
Phone
(704) 649-6522
Fax
(704) 503-6250
NPI assigned
Mar 23, 2010
Organization subpart
Yes
Parent organization
PROGRESSIVE HOME CAREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 23, 2010

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

Authorized official

Name
Mrs. Chenita Simone Moore, RN
Title
Director
Phone
(704) 649-6522

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HC3843 NC Primary

Addresses

Primary practice location

8821 University East Dr
Suite #115
Charlotte, NC 28213-4200

Mailing address

8821 University East Dr
Suite #115
Charlotte, NC 28213-4200
Phone (704) 649-6522

Other identifiers 1

IdentifierTypeStateIssuer
3418725MedicaidNC

National Provider Directory

National Provider Directory
Part of
PRG Cap Services

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.

NPI Registry JSON

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

{
    "created_epoch": "1269302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269302400000",
    "number": "1639493463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8821 UNIVERSITY EAST DR",
            "address_2": "SUITE #115",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282134200",
            "telephone_number": "704-649-6522",
            "fax_number": "704-503-6250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8821 UNIVERSITY EAST DR",
            "address_2": "SUITE #115",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282134200",
            "telephone_number": "704-649-6522",
            "fax_number": "704-503-6250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRG CAP SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PROGRESSIVE HOME CARE",
        "enumeration_date": "2010-03-23",
        "last_updated": "2010-03-23",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "CHENITA",
        "authorized_official_middle_name": "SIMONE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "704-649-6522",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC3843",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3418725",
            "state": "NC"
        }
    ],
    "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 Mar 23, 2010; 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.