Active NPI
Arlene Ann Booker
- In Home Supportive Care Agency
- Charlotte, NC
National Provider Identifier
1750770491
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- License
- 423524
- Practice address
- 7813 Kings Ridge Dr
Apt B
Charlotte, NC 28217-5952 - Phone
- (716) 603-5812
- NPI assigned
- Jan 19, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | 423524 | NC | Primary |
Addresses
Primary practice location
7813 Kings Ridge Dr
Apt B
Charlotte, NC 28217-5952
Mailing address
7813 Kings Ridge Dr
Apt B
Charlotte, NC 28217-5952
Phone (716) 603-5812
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 423524 | Other | NC | CNA# |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 423524 | NC | MD | In Home Supportive Care Agency |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1421625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421625600000",
"number": "1750770491",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7813 KINGS RIDGE DR",
"address_2": "APT B",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282175952",
"telephone_number": "716-603-5812"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7813 KINGS RIDGE DR",
"address_2": "APT B",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282175952",
"telephone_number": "716-603-5812"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOOKER",
"first_name": "ARLENE",
"middle_name": "ANN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-01-19",
"last_updated": "2015-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "NC",
"license": "423524",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CNA#",
"identifier": "423524",
"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 Jan 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.