Clean Hands Pure Heart

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

CLEAN HANDS PURE HEART

Practice address

4724 Grasset Ave
Charlotte, NC 28269-4025

Phone

(980) 875-8693

NPI assigned

Apr 30, 2020

Organization subpart

No

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

Authorized official

Name

Kera Tahmara Diggs BrownNPI 1609420629

Title

Owner

Phone

(980) 865-8693

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kera Tahmara Diggs Brown, SOLE PROPRIETOR

  • Home Health Registered Nurse
  • Charlotte, NC
  • NPI 1609420629
  NPD Authorized official

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

{
    "created_epoch": "1588204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599868800000",
    "number": "1770104762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4724 GRASSET AVE",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282694025",
            "telephone_number": "980-875-8693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4724 GRASSET AVE",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282694025",
            "telephone_number": "980-875-8693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEAN HANDS PURE HEART",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-30",
        "last_updated": "2020-09-12",
        "certification_date": "2020-09-12",
        "status": "A",
        "authorized_official_last_name": "DIGGS BROWN",
        "authorized_official_first_name": "KERA",
        "authorized_official_middle_name": "TAHMARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "980-865-8693"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVERS LICENSE",
            "identifier": "3892146",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Charlotte",
            "affiliation": "N",
            "address_1": "4724 Grasset Ave",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282694025",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Charlotte",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Health",
            "address_1": "4724 Grasset Ave",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282694025",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Justin Gray Clayton
• Taylea Sikeya Clayton, PA-C
• Graham F Claytor, PT
• Vanessa Smith Claytor, LCSW
• CLB Home Care Agency LLC
• Clear Counseling Services PLLC
• Clear Creek Counseling and Consulting PC
• Clear Foundations Therapy and Assessment PLLC
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• Clear View Eye Care OD PA (Eye Care Center)

• In Home Supportive Care Agency in Charlotte, NC
• Providers in Charlotte, NC by specialty
• In Home Supportive Care Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.