Active NPI
Michael Riley
- In Home Supportive Care Agency
- Charlotte, NC
National Provider Identifier
1669960746
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Practice address
- 8301 University Exec Park Dr Ste 120
Charlotte, NC 28262 - Phone
- (847) 323-8832
- NPI assigned
- Apr 25, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Primary |
Addresses
Primary practice location
8301 University Exec Park Dr Ste 120
Charlotte, NC 28262
Mailing address
8301 University Exec Park Dr Ste 120
Charlotte, NC 28262-3596
Phone (704) 780-9800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Delilah Enterprises, Inc | In Home Supportive Care | Current | Accepting new patients |
Locations
8301 University Exec Park Dr
Ste 120
Charlotte, NC 28262
Phone (704) 503-4660
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- In Home Supportive Care Agency
- Charlotte, NC
- NPI 1619461803
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534464000000",
"number": "1669960746",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8301 UNIVERSITY EXEC PARK DR STE 120",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282623596",
"telephone_number": "704-780-9800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8301 UNIVERSITY EXEC PARK DR STE 120",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "28262",
"telephone_number": "847-323-8832"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RILEY",
"first_name": "MICHAEL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-04-25",
"last_updated": "2018-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"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 Aug 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.