Organization Active NPI

Atlantic Coast Home Care

  • Home Health Agency
  • Charlotte, NC
National Provider Identifier
1811040397
Registry record updated Jul 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
6601580 Issued in NC
Legal business name
ATLANTIC COAST HOME CARE
Practice address
8301 University Exec Park Dr
Suite 170
Charlotte, NC 28262-3593
Phone
(704) 549-5800
Fax
(704) 549-5888
NPI assigned
Jan 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2008

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

Authorized official

Name
Dr. Carlton Thornton
Title
Agency Director
Phone
(704) 236-3988

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 6601580 NC Primary

Addresses

Primary practice location

8301 University Exec Park Dr
Suite 170
Charlotte, NC 28262-3593

Mailing address

8301 University Executive Park Drive
Suite 170
Charlotte, NC 28262-3593
Phone (704) 549-5800

Other identifiers 1

IdentifierTypeStateIssuer
6601580MedicaidNC

National Provider Directory

National Provider Directory

Locations

8301 University Exec Park Dr
Ste 170
Charlotte, NC 28262
Phone (704) 549-5800

NPI Registry JSON

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215043200000",
    "number": "1811040397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8301 UNIVERSITY EXECUTIVE PARK DRIVE",
            "address_2": "SUITE 170",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282623593",
            "telephone_number": "704-549-5800",
            "fax_number": "704-549-5888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8301 UNIVERSITY EXEC PARK DR",
            "address_2": "SUITE 170",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282623593",
            "telephone_number": "704-549-5800",
            "fax_number": "704-549-5888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIC COAST HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2008-07-03",
        "status": "A",
        "authorized_official_last_name": "THORNTON",
        "authorized_official_first_name": "CARLTON",
        "authorized_official_title_or_position": "AGENCY DIRECTOR",
        "authorized_official_telephone_number": "704-236-3988",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "6601580",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6601580",
            "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 Jul 3, 2008; 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.