Active NPI
Carolina Home Care Specialists, Inc.
- In Home Supportive Care Agency
- Spruce Pine, NC
National Provider Identifier
1730197500
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- License
- HC2863
- Legal business name
- CAROLINA HOME CARE SPECIALISTS, INC.
- Practice address
- 125 Skyview Circle
Spruce Pine, NC 28777-9518 - Phone
- (828) 765-4343
- Fax
- (828) 765-4340
- NPI assigned
- Aug 4, 2006
- 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
- Mrs. Donna C. Luttrell, R.N.
- Title
- Agency Director
- Phone
- (828) 765-4343
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | HC2863 | NC | Primary |
| Personal Care Attendant | 3747P1801X | HC2863 | NC |
Addresses
Primary practice location
125 Skyview Circle
Spruce Pine, NC 28777-9518
Mailing address
125 Skyview Circle
PO Box 549
Spruce Pine, NC 28777-0549
Phone (828) 765-4343
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3408152 | Medicaid | NC | |
| 6601196 | Medicaid | NC |
National Provider Directory
National Provider Directory- Tax ID family
- Carolina Home Care Specialists Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Personal Care Attendant
- Spruce Pine, NC
- NPI 1891982898
Locations
125 Skyview Cir
Spruce Pine, NC 28777
Phone (828) 765-4343
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154649600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1373587200000",
"number": "1730197500",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 SKYVIEW CIRCLE",
"address_2": "PO BOX 549",
"city": "SPRUCE PINE",
"state": "NC",
"postal_code": "287770549",
"telephone_number": "828-765-4343",
"fax_number": "828-765-4340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 SKYVIEW CIRCLE",
"city": "SPRUCE PINE",
"state": "NC",
"postal_code": "287779518",
"telephone_number": "828-765-4343",
"fax_number": "828-765-4340"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAROLINA HOME CARE SPECIALISTS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-04",
"last_updated": "2013-07-12",
"status": "A",
"authorized_official_last_name": "LUTTRELL",
"authorized_official_first_name": "DONNA",
"authorized_official_middle_name": "C.",
"authorized_official_title_or_position": "AGENCY DIRECTOR",
"authorized_official_telephone_number": "828-765-4343",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "R.N."
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "NC",
"license": "HC2863",
"primary": true
},
{
"code": "3747P1801X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Technician, Personal Care Attendant",
"state": "NC",
"license": "HC2863",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3408152",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6601196",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Spruce Pine, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.