Carolina Haven PCS

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

CAROLINA HAVEN PCS

Practice address

5100 Reagan Dr Ste 16
Charlotte, NC 28206-1390

Phone

(704) 957-0847

Fax

(800) 465-8147

NPI assigned

Nov 12, 2019

Organization subpart

No

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

Authorized official

Name

Stephanie Jackson, PSS

Title

Agency Director

Phone

(704) 957-0847

Specialties & licenses 3

Addresses

Locations

Practitioners 1

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

• Lamia Hill, RN

  • Registered Nurse
  • Charlotte, NC
  • NPI 1831808914
  NPD

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

{
    "created_epoch": "1573516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573516800000",
    "number": "1821633934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 REAGAN DR STE 16",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282061390",
            "telephone_number": "704-957-0847",
            "fax_number": "800-465-8147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 REAGAN DR STE 16",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282061390",
            "telephone_number": "704-957-0847",
            "fax_number": "800-465-8147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA HAVEN PCS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-12",
        "last_updated": "2019-11-12",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "AGENCY DIRECTOR",
        "authorized_official_telephone_number": "704-957-0847",
        "authorized_official_credential": "PSS"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse's Aide",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolina Foot & Ankle of Huntersville, PC
• Carolina Hand Center, PA
• Carolina Hand Therapy Specialist PLLC
• Carolina Hand Therapy Specialist PLLC
• Carolina Hand Therapy Specialist PLLC
• Carolina Healthcare Southeast Region, LLC
• Carolina Healthy Hearts & Minds, PLLC
• Carolina Home Access Solutions 2, LLC
• Carolina Home Access Solutions, LLC
• Carolina Home Care & Health Solution, LLC

• In Home Supportive Care Agency in Charlotte, NC
• Providers in Charlotte, NC by specialty
• In Home Supportive Care Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2019; 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.