Gabbysco Home Care Agency, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

GABBYSCO HOME CARE AGENCY, LLC

Practice address

153 Barclay Dr
Waxhaw, NC 28173-0065

Phone

(704) 858-0660

NPI assigned

Jun 3, 2020

Last updated

Aug 25, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kofi AsieduNPI 1912374166

Title

Director

Phone

(704) 858-0660

Specialties & licenses 2

Addresses

Electronic endpoints 3

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kofi Asiedu, NP

  • Family Nurse Practitioner
  • Charlotte, NC
  • NPI 1912374166
  NPD Authorized official

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

{
    "created_epoch": "1591142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598313600000",
    "number": "1669096855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "153 BARCLAY DR",
            "city": "WAXHAW",
            "state": "NC",
            "postal_code": "281730065",
            "telephone_number": "704-858-0660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 BARCLAY DR",
            "city": "WAXHAW",
            "state": "NC",
            "postal_code": "281730065",
            "telephone_number": "704-858-0660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GABBYSCO HOME CARE AGENCY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-03",
        "last_updated": "2020-08-25",
        "certification_date": "2020-08-25",
        "status": "A",
        "authorized_official_last_name": "ASIEDU",
        "authorized_official_first_name": "KOFI",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "704-858-0660"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@gabbyscohomecare.com",
            "affiliation": "N",
            "endpointDescription": "Company E-mail address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "E-mail",
            "address_1": "153 Barclay Dr",
            "city": "Waxhaw",
            "state": "NC",
            "country_code": "US",
            "postal_code": "281730065",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@gabbyscohomecare.com",
            "affiliation": "N",
            "endpointDescription": "Company E-mail address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "E-mail",
            "address_1": "153 Barclay Dr",
            "city": "Waxhaw",
            "state": "NC",
            "country_code": "US",
            "postal_code": "281730065",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@gabbyscohomecare.com",
            "affiliation": "N",
            "endpointDescription": "Company E-mail address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "E-mail",
            "address_1": "153 Barclay Dr",
            "city": "Waxhaw",
            "state": "NC",
            "country_code": "US",
            "postal_code": "281730065",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Frances Azie
• Felicia H Friesen, MA, LPC
• Tabetha Frost, OT
• Marvin William Futtersak, PH.D.
• G. Abrams and R. Cohen XX, PC
• Kalani Gaddy
• Gaines Therapy PLLC
• Aldi Gaines, LPC
• Kim Gajan, MS, CCC-SLP
• Prasannakumar Kanubhai Gajera

• In Home Supportive Care Agency in Waxhaw, NC
• Providers in Waxhaw, 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 Aug 25, 2020; 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.