NPIMap

Organization Active NPI

Crden Rose Holding Company

  • In Home Supportive Care Agency
  • Concord, NC
National Provider Identifier
1790372605
Registry record updated Jan 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
CRDEN ROSE HOLDING COMPANY
Doing business as
Everyday Life Homecare Services
Practice address
3118 Roberta Rd
Concord, NC 28027-9080
Phone
(704) 965-1054
Fax
(352) 554-5073
NPI assigned
Dec 26, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2021

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

Authorized official

Name
La Toya Dawson
Title
Billing Director
Phone
(352) 231-7551

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary
Clinical Medical Laboratory 291U00000X

Addresses

Primary practice location

3118 Roberta Rd
Concord, NC 28027-9080

Mailing address

3118 Roberta Rd
Concord, NC 28027-9080
Phone (704) 965-1054

Other names 1

  • Everyday Life Homecare Services Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1608940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611187200000",
    "number": "1790372605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3118 ROBERTA RD",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280279080",
            "telephone_number": "704-965-1054",
            "fax_number": "352-554-5073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3118 ROBERTA RD",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280279080",
            "telephone_number": "704-965-1054",
            "fax_number": "352-554-5073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRDEN ROSE HOLDING COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-26",
        "last_updated": "2021-01-21",
        "certification_date": "2021-01-21",
        "status": "A",
        "authorized_official_last_name": "DAWSON",
        "authorized_official_first_name": "LA TOYA",
        "authorized_official_title_or_position": "BILLING DIRECTOR",
        "authorized_official_telephone_number": "352-231-7551"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Everyday Life Homecare Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Concord, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2021; 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.