Organization Active NPI

Home Health Connection

  • Home Health Aide
  • Charlotte, NC
National Provider Identifier
1790842938
Registry record updated Mar 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
Legal business name
HOME HEALTH CONNECTION
Practice address
2121 Commonwealth Ave
Suite 209
Charlotte, NC 28205-5100
Phone
(704) 334-8141
NPI assigned
Jan 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2010

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

Authorized official

Name
John Turner
Title
Ceo
Phone
(704) 334-8141

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health AideGroup: 193400000X SINGLE SPECIALTY GROUP 374U00000X Primary

Addresses

Primary practice location

2121 Commonwealth Ave
Suite 209
Charlotte, NC 28205-5100

Mailing address

2121 Commonwealth Ave
Suite 209
Charlotte, NC 28205-5100

Other identifiers 4

IdentifierTypeStateIssuer
6601556MedicaidNC
3409575MedicaidNC
6600994MedicaidNC
6601942MedicaidNC

National Provider Directory

National Provider Directory

Locations

2121 Commonwealth Ave
Ste 209
Charlotte, NC 28205
Phone (704) 334-8141

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268611200000",
    "number": "1790842938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 COMMONWEALTH AVE",
            "address_2": "SUITE 209",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282055100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 COMMONWEALTH AVE",
            "address_2": "SUITE 209",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282055100",
            "telephone_number": "704-334-8141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME HEALTH CONNECTION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2010-03-15",
        "status": "A",
        "authorized_official_last_name": "TURNER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "704-334-8141"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6601556",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3409575",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6600994",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6601942",
            "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 15, 2010; 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.