Organization Active NPI

Pioneer Home Care Service

  • Home Health Agency
  • Charlotte, NC
National Provider Identifier
1770816282
Registry record updated Mar 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HC 3894 Issued in NC
Legal business name
PIONEER HOME CARE SERVICE
Practice address
1921 Central Ave
Charlotte, NC 28205-5111
Phone
(704) 906-6568
NPI assigned
Sep 15, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2011

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

Authorized official

Name
Saeed Mohamoud Abdi
Title
Agency Director
Phone
(704) 906-6568

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HC 3894 NC Primary

Addresses

Primary practice location

1921 Central Ave
Charlotte, NC 28205-5111

Mailing address

1921 Central Ave
Charlotte, NC 28205-5111
Phone (704) 906-6568

Other identifiers 1

IdentifierTypeStateIssuer
HC3894OtherNCHOME CARE LICENSURE

National Provider Directory

National Provider Directory

Locations

1921 Central Ave
Charlotte, NC 28205
Phone (704) 906-6568

NPI Registry JSON

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

{
    "created_epoch": "1252972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300665600000",
    "number": "1770816282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1921 CENTRAL AVE",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282055111",
            "telephone_number": "704-906-6568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1921 CENTRAL AVE",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282055111",
            "telephone_number": "704-906-6568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIONEER HOME CARE SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-15",
        "last_updated": "2011-03-21",
        "status": "A",
        "authorized_official_last_name": "ABDI",
        "authorized_official_first_name": "SAEED",
        "authorized_official_middle_name": "MOHAMOUD",
        "authorized_official_title_or_position": "AGENCY DIRECTOR",
        "authorized_official_telephone_number": "704-906-6568"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC 3894",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOME CARE LICENSURE",
            "identifier": "HC3894",
            "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 21, 2011; 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.