Organization Active NPI

Secured Care Home Health Services of NC Inc.

  • In Home Supportive Care Agency
  • Charlotte, NC
National Provider Identifier
1740504265
Registry record updated Mar 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
SECURED CARE HOME HEALTH SERVICES OF NC INC.
Practice address
5960 Fairview Rd
Charlotte, NC 28210-3102
Phone
(678) 760-3262
Fax
(888) 651-0008
NPI assigned
Mar 26, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2010

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

Authorized official

Name
Tameka Porter, OWNER
Title
Administrator
Phone
(678) 760-3262

Specialties & licenses 1

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

Addresses

Primary practice location

5960 Fairview Rd
Charlotte, NC 28210-3102

Mailing address

5960 Fairview Rd
Charlotte, NC 28210-3102
Phone (678) 760-3262

Other identifiers 1

IdentifierTypeStateIssuer
000000000MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Secure Med Cap Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1269561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269561600000",
    "number": "1740504265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5960 FAIRVIEW RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282103102",
            "telephone_number": "678-760-3262",
            "fax_number": "888-651-0008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5960 FAIRVIEW RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282103102",
            "telephone_number": "678-760-3262",
            "fax_number": "888-651-0008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SECURED CARE HOME HEALTH SERVICES OF NC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-26",
        "last_updated": "2010-03-26",
        "status": "A",
        "authorized_official_last_name": "PORTER",
        "authorized_official_first_name": "TAMEKA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "678-760-3262",
        "authorized_official_credential": "OWNER"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000000000",
            "state": "NC"
        }
    ],
    "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 Mar 26, 2010; 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.