Active NPI
Patmax LLC
- In Home Supportive Care Agency
- Charlotte, NC
National Provider Identifier
1649971789
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- PATMAX LLC
- Practice address
- 1251 Arrow Pine Dr Ste E
Charlotte, NC 28273-5591 - Phone
- (704) 258-1784
- NPI assigned
- Mar 15, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lea Thach, REGISTERED NURSE
- Title
- Owner
- Phone
- (803) 547-1866
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| PACE Provider Organization | 251T00000X | |||
| In Home Supportive Care Agency | 253Z00000X | Primary | ||
| Respite Care | 385H00000X |
Addresses
Primary practice location
1251 Arrow Pine Dr Ste E
Charlotte, NC 28273-5591
Mailing address
2631 Farmstead LN
Fort Mill, SC 29708-7939
Phone (704) 258-1784
Other names 1
- Magnolia Home Care
National Provider Directory
National Provider DirectoryLocations
1251 Arrow Pine Dr
Ste E
Charlotte, NC 28273
Phone (704) 258-1784
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678838400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1679270400000",
"number": "1649971789",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2631 FARMSTEAD LN",
"city": "FORT MILL",
"state": "SC",
"postal_code": "297087939",
"telephone_number": "704-258-1784"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1251 ARROW PINE DR STE E",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282735591",
"telephone_number": "704-258-1784"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PATMAX LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-03-15",
"last_updated": "2023-03-20",
"certification_date": "2023-03-20",
"status": "A",
"authorized_official_last_name": "THACH",
"authorized_official_first_name": "LEA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "803-547-1866",
"authorized_official_credential": "REGISTERED NURSE"
},
"taxonomies": [
{
"code": "251T00000X",
"taxonomy_group": "",
"desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
"state": null,
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Magnolia 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 Mar 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.