Organization Active NPI

Essential Homes of the Carolina

  • Migrant Health Clinic/Center
  • Charlotte, NC
National Provider Identifier
1801495700
Registry record updated Oct 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Migrant Health Clinic/CenterTaxonomy code 261QM1000X
Legal business name
ESSENTIAL HOMES OF THE CAROLINA
Practice address
512 Wearn CT
Charlotte, NC 28206-2972
Phone
(704) 492-0633
NPI assigned
Oct 21, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2020

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

Authorized official

Name
Lee Antoine Little
Title
Owner
Phone
(704) 492-0633

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Migrant Health Clinic/Center 261QM1000X Primary

Addresses

Primary practice location

512 Wearn CT
Charlotte, NC 28206-2972

Mailing address

512 Wearn CT
Charlotte, NC 28206-2972
Phone (704) 492-0633

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1603238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603238400000",
    "number": "1801495700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 WEARN CT",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282062972",
            "telephone_number": "704-492-0633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 WEARN CT",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282062972",
            "telephone_number": "704-492-0633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESSENTIAL HOMES OF THE CAROLINA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-21",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-21",
        "status": "A",
        "authorized_official_last_name": "LITTLE",
        "authorized_official_first_name": "LEE",
        "authorized_official_middle_name": "ANTOINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-492-0633"
    },
    "taxonomies": [
        {
            "code": "261QM1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Migrant Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Oct 21, 2020; 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.