Organization Active NPI

Mindful Moments Home Care, Inc

  • Home Health Agency
  • Concord, NC
National Provider Identifier
1790515534
Registry record updated May 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
MINDFUL MOMENTS HOME CARE, INC
Practice address
363 Church St N
Concord, NC 28025-4589
Phone
(678) 595-6868
NPI assigned
Aug 6, 2024
Last updated
May 3, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2025

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

Authorized official

Name
Latonya Foreman
Title
Ceo
Phone
(678) 595-6868

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Developmentally Disabled Services Day Training Agency 251C00000X
Home Health Agency 251E00000X Primary
Home Infusion Agency 251F00000X
Community Based Hospice Care Agency 251G00000X
Nursing Care Agency 251J00000X
PACE Provider Organization 251T00000X
In Home Supportive Care Agency 253Z00000X
Preferred Provider Organization 305R00000X
Attendant Care ProviderGroup: 193200000X MULTI-SPECIALTY GROUP 3747A0650X
Nursing Home AdministratorGroup: 193200000X MULTI-SPECIALTY GROUP 376G00000X
Nurse's AideGroup: 193200000X MULTI-SPECIALTY GROUP 376K00000X
Child Mental Illness Respite Care 385HR2055X
Child Intellectual and/or Developmental Disabilities Respite Care 385HR2060X
Child Physical Disabilities Respite Care 385HR2065X

Addresses

Primary practice location

363 Church St N
Concord, NC 28025-4589

Mailing address

363 Church St N
Concord, NC 28025-4589
Phone (678) 595-6868

Other practice location 1

115 E Main St
Buford, GA 30518-5727
Phone (678) 595-6962

Other practice location 2

4000 Eagle Point Corporate Dr
Birmingham, AL 35242-1900
Phone (678) 595-6962

National Provider Directory

National Provider Directory

Locations

4000 Eagle Point Corporate Dr
Birmingham, AL 35242
Phone (205) 314-5700

363 Church St N
Concord, NC 28025
Phone (704) 262-1320

NPI Registry JSON

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

{
    "created_epoch": "1722902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746230400000",
    "number": "1790515534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "363 CHURCH ST N",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280254589",
            "telephone_number": "678-595-6868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "363 CHURCH ST N",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280254589",
            "telephone_number": "678-595-6868"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "115 E Main St",
            "address_purpose": "LOCATION",
            "city": "Buford",
            "state": "GA",
            "postal_code": "305185727",
            "country_code": "US",
            "telephone_number": "678-595-6962",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4000 Eagle Point Corporate Dr",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352421900",
            "country_code": "US",
            "telephone_number": "678-595-6962",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MINDFUL MOMENTS HOME CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-06",
        "last_updated": "2025-05-03",
        "certification_date": "2025-05-03",
        "status": "A",
        "authorized_official_last_name": "FOREMAN",
        "authorized_official_first_name": "LATONYA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "678-595-6868"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251T00000X",
            "taxonomy_group": "",
            "desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747A0650X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Attendant Care Provider",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nursing Home Administrator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse's Aide",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2055X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Mental Illness, Child",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2065X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Physical Disabilities, Child",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 May 3, 2025; 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.