Active NPI
Tolly Care Services Inc
Doing business as Tolly care
- In Home Supportive Care Agency
- Charlotte, NC
National Provider Identifier
1710588504
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryNPI 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.