Homecare for the Carolinas Clinic

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

HOMECARE FOR THE CAROLINAS CLINIC

Practice address

4301 Morris Park Dr Ste 14
Mint Hill, NC 28227-8253

Phone

(704) 335-8488

NPI assigned

Apr 13, 2015

Organization subpart

No

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

Authorized official

Name

Tamara Neely

Title

Billing Director

Phone

(704) 335-8488

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 1

• HomeCare for the Carolinas Clinic, P.A. Doing business as

Locations

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

{
    "created_epoch": "1428883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739923200000",
    "number": "1669868972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13048 ODELL HEIGHTS DR",
            "city": "MINT HILL",
            "state": "NC",
            "postal_code": "282274388",
            "telephone_number": "704-724-7041",
            "fax_number": "704-335-8477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 MORRIS PARK DR STE 14",
            "city": "MINT HILL",
            "state": "NC",
            "postal_code": "282278253",
            "telephone_number": "704-335-8488"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9414 Albemarle Rd",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282273346",
            "country_code": "US",
            "telephone_number": "704-335-8488",
            "fax_number": "704-335-8477",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HOMECARE FOR THE CAROLINAS CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-13",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A",
        "authorized_official_last_name": "NEELY",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_title_or_position": "BILLING DIRECTOR",
        "authorized_official_telephone_number": "704-335-8488"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1669868972",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1841681558",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HomeCare for the Carolinas Clinic, P.A.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elizabeth Magri Hertzfeld, M.A.,CCC-SLP
• Michele Trang Thi Ho, M.D.
• Michelle Roses Holleman, MS, LCASA, ASAT
• Homecare for the Carolinas
• Homecare for the Carolinas
• Homecare for the Carolinas LLC
• Selena Houck, PA-C
• Tabatha Howard, MSW, LCSW
• Tammy Howard
• Virginia Carter Ingram, MS CCC-SLP

• Psychiatric/Mental Health Nurse Practitioner in Mint Hill, NC
• Providers in Mint Hill, NC by specialty
• Psychiatric/Mental Health Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2025; 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.