His Village Rescue Mission

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

HIS VILLAGE RESCUE MISSION

Practice address

5009 Beatties Ford Rd # 107259
Charlotte, NC 28216-2859

Phone

(704) 765-2116

NPI assigned

Nov 9, 2018

Organization subpart

No

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

Authorized official

Name

Leah Gibson

Title

Managing Director

Phone

(520) 422-4016

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1541721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731456000000",
    "number": "1831667674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 W CONTINENTAL RD STE 216-66",
            "city": "GREEN VALLEY",
            "state": "AZ",
            "postal_code": "856223500",
            "telephone_number": "704-765-2116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5009 BEATTIES FORD RD # 107259",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282162859",
            "telephone_number": "704-765-2116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIS VILLAGE RESCUE MISSION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-09",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A",
        "authorized_official_last_name": "GIBSON",
        "authorized_official_first_name": "LEAH",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "520-422-4016"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christie Marianne Hirsch-Reilly, DO
• Emily Hirsch, R.D.
• Holly Hirsch, RDN, LDN, CNSC
• Myriam S Hirsch, DC
• His Grace and Mercy Home Care LLC
• Hispanic Latino Community Resource Center
• Erica Hitch
• Shelby Hitchcock, CCC- SLP
• Bria Hitchens
• Eileen Beth Hitcho, M.D.

• 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 13, 2024; 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.