NPIMap

Organization Active NPI

Professional Healthcare47

  • Home Health Agency
  • Charlotte, NC
National Provider Identifier
1659757763
Registry record updated Jul 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
Z2836950 Issued in NC
Legal business name
PROFESSIONAL HEALTHCARE47
Practice address
8507 Four Sisters LN
Charlotte, NC 28215-8917
Phone
(704) 890-1193
NPI assigned
Jul 31, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2015

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

Authorized official

Name
Ms. Nancy Graham, CNA2NPI 1508242306
Title
Ceo/Owner
Phone
(704) 890-1193

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 Z2836950 NC Primary

Addresses

Primary practice location

8507 Four Sisters LN
Charlotte, NC 28215-8917

Mailing address

8507 Four Sisters LN
Charlotte, NC 28215-8917
Phone (704) 890-1193

Other names 1

  • New Foundation Real eastate Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1438300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438300800000",
    "number": "1659757763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8507 FOUR SISTERS LN",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282158917",
            "telephone_number": "704-890-1193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8507 FOUR SISTERS LN",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282158917",
            "telephone_number": "704-890-1193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL HEALTHCARE47",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-31",
        "last_updated": "2015-07-31",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "704-890-1193",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CNA2"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "Z2836950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Foundation Real eastate",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Jul 31, 2015; 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.