Active NPI
Ella Maria Glover
- In Home Supportive Care Agency
- Matthews, NC
National Provider Identifier
1780816009
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- License
- HC4581
- Practice address
- 1135 Four Lakes Dr Ste H
Matthews, NC 28105-1743 - Phone
- (704) 249-2553
- Fax
- (980) 242-3496
- NPI assigned
- Aug 20, 2009
- 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 | HC4581 | NC | Primary |
Addresses
Primary practice location
1135 Four Lakes Dr Ste H
Matthews, NC 28105-1743
Mailing address
8517 Kirkley Glen LN Ste 113
Charlotte, NC 28215-8049
Phone (704) 200-1413
Other names 1
- Excellent Home Care
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 |
|---|---|---|---|
| HC4581 | NC | MD | In Home Supportive Care Agency |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ehc Health Career Institute LLC | Current | Accepting new patients | |
| Ehc Cares LLC | In Home Supportive Care | Current | Accepting new patients |
Locations
1135 Four Lakes Dr
Ste H
Matthews, NC 28105
Phone (704) 249-2553
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- In Home Supportive Care Agency
- Charlotte, NC
- NPI 1518203595
-
- Local Education Agency (LEA)
- Matthews, NC
- NPI 1215698980
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1250726400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642032000000",
"number": "1780816009",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8517 KIRKLEY GLEN LN STE 113",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282158049",
"telephone_number": "704-200-1413",
"fax_number": "980-242-3496"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1135 FOUR LAKES DR STE H",
"city": "MATTHEWS",
"state": "NC",
"postal_code": "281051743",
"telephone_number": "704-249-2553",
"fax_number": "980-242-3496"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLOVER",
"first_name": "ELLA",
"middle_name": "MARIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-08-20",
"last_updated": "2022-01-13",
"certification_date": "2022-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "NC",
"license": "HC4581",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "EXCELLENT",
"last_name": "CARE",
"middle_name": "HOME",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Matthews, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.