Mecklenburg Home Health, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

HC0357 Issued in NC

Legal business name

MECKLENBURG HOME HEALTH, INC.

Practice address

1910 Jake Alexander Blvd W
Suite 102-103
Salisbury, NC 28147-1162

Phone

(704) 633-7213

Fax

(704) 636-4483

NPI assigned

Feb 28, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Nick Elledge

Title

Vice President

Phone

(336) 679-8852

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Home Health Professionals Rowan Doing business as

Locations

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

{
    "created_epoch": "1141084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679540512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 JAKE ALEXANDER BLVD W",
            "address_2": "SUITE 102-103",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281471162",
            "telephone_number": "704-633-7213",
            "fax_number": "704-636-4483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 JAKE ALEXANDER BLVD W",
            "address_2": "SUITE 102-103",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281471162",
            "telephone_number": "704-633-7213",
            "fax_number": "704-636-4483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MECKLENBURG HOME HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ELLEDGE",
        "authorized_official_first_name": "NICK",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "336-679-8852",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC0357",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3407325",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Home Health Professionals Rowan",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Home Health Agency in Salisbury, NC
• Providers in Salisbury, NC by specialty
• Home Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.