Organization Active NPI

Tolly Care Services Inc

Doing business as Tolly care

  • In Home Supportive Care Agency
  • Charlotte, NC
National Provider Identifier
1710588504
Registry record updated Nov 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
TOLLY CARE SERVICES INC
Doing business as
Tolly care
Practice address
4822 Albemarle Rd
Charlotte, NC 28205-6668
Phone
(704) 712-6125
NPI assigned
Nov 6, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2020

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

Authorized official

Name
Oludotun Olusesan Fajobi
Title
Owner
Phone
(704) 712-6125

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

4822 Albemarle Rd
Charlotte, NC 28205-6668

Mailing address

5411 Wyalong Dr
Charlotte, NC 28227-7840
Phone (704) 712-6125

Other names 1

  • Tolly care Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1604620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604620800000",
    "number": "1710588504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5411 WYALONG DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282277840",
            "telephone_number": "704-712-6125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4822 ALBEMARLE RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282056668",
            "telephone_number": "704-712-6125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOLLY CARE SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-06",
        "last_updated": "2020-11-06",
        "certification_date": "2020-10-29",
        "status": "A",
        "authorized_official_last_name": "FAJOBI",
        "authorized_official_first_name": "OLUDOTUN",
        "authorized_official_middle_name": "OLUSESAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-712-6125"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tolly care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 6, 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.