Organization Active NPI

Patient Empowerment Services Agency

  • Respite Care
  • Charlotte, NC
National Provider Identifier
1801669296
Registry record updated Nov 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Respite CareTaxonomy code 385H00000X
Legal business name
PATIENT EMPOWERMENT SERVICES AGENCY
Practice address
3117 Whiting Ave
Charlotte, NC 28205-1648
Phone
(980) 300-0251
NPI assigned
Nov 7, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2023

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

Authorized official

Name
Avis Marie Nash, HOME CARE PROVIDERNPI 1295508612
Title
Home Care Provider
Phone
(980) 300-0251

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
Private Vehicle 347C00000X
Respite Care 385H00000X Primary

Addresses

Primary practice location

3117 Whiting Ave
Charlotte, NC 28205-1648

Mailing address

3117 Whiting Ave
Charlotte, NC 28205-1648
Phone (980) 300-0251

National Provider Directory

National Provider Directory
Tax ID family
Patient Empowerment Services Agency2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3117 Whiting Ave
Charlotte, NC 28205
Phone (980) 243-5595

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1699315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699315200000",
    "number": "1801669296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3117 WHITING AVE",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282051648",
            "telephone_number": "980-300-0251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3117 WHITING AVE",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282051648",
            "telephone_number": "980-300-0251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATIENT EMPOWERMENT SERVICES AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-07",
        "last_updated": "2023-11-07",
        "certification_date": "2023-11-07",
        "status": "A",
        "authorized_official_last_name": "NASH",
        "authorized_official_first_name": "AVIS",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "HOME CARE PROVIDER",
        "authorized_official_telephone_number": "980-300-0251",
        "authorized_official_credential": "HOME CARE PROVIDER"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "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 Nov 7, 2023; 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.