Individual provider Active NPI

Ella Maria Glover

  • In Home Supportive Care Agency
  • Matthews, NC
National Provider Identifier
1780816009
Registry record updated Jan 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
HC4581 Issued in NC
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

Updated by the provider on Jan 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Professional name

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

LicenseStateTypeSpecialty
HC4581NCMDIn Home Supportive Care Agency

Practice roles

OrganizationSpecialtyStatusNew patients
Ehc Health Career Institute LLC CurrentSince Jan 21, 2022 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.

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.

Verify at the official NPI Registry.