NPIMap

Organization Active NPI

Community Homecare Services, Inc.

  • Home Health Agency
  • Gastonia, NC
National Provider Identifier
1841488210
Registry record updated Oct 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HC 3537 Issued in NC
Legal business name
COMMUNITY HOMECARE SERVICES, INC.
Practice address
543 Cox Rd
Suite B-2
Gastonia, NC 28054-0607
Phone
(704) 323-9266
Fax
(704) 563-8477
NPI assigned
Oct 10, 2007
Last updated
Oct 10, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2007

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

Authorized official

Name
Ms. Rregina Depass
Title
Executive Director
Phone
(704) 323-9266

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HC 3537 NC Primary

Addresses

Primary practice location

543 Cox Rd
Suite B-2
Gastonia, NC 28054-0607

Mailing address

5410 Frederick St.
Indiantrail, NC 28079
Phone (704) 323-9266

Other identifiers 1

IdentifierTypeStateIssuer
3418066MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Community Homecare Services Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

543 Cox Rd
Ste B2
Gastonia, NC 28054
Phone (704) 323-9266

NPI Registry JSON

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

{
    "created_epoch": "1191974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191974400000",
    "number": "1841488210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5410 FREDERICK ST.",
            "city": "INDIANTRAIL",
            "state": "NC",
            "postal_code": "28079",
            "telephone_number": "704-323-9266",
            "fax_number": "704-563-8477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "543 COX RD",
            "address_2": "SUITE B-2",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280540607",
            "telephone_number": "704-323-9266",
            "fax_number": "704-563-8477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HOMECARE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-10",
        "last_updated": "2007-10-10",
        "status": "A",
        "authorized_official_last_name": "DEPASS",
        "authorized_official_first_name": "RREGINA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "704-323-9266",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC 3537",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3418066",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gastonia, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2007; 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.