Hendrick Home Care, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

HC3623 Issued in NC

Legal business name

HENDRICK HOME CARE, LLC

Practice address

1800 Camden Rd
Suite 107-227
Charlotte, NC 28203-4690

Phone

(704) 661-6601

NPI assigned

Jan 5, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Detron L Burch

Title

Manger

Phone

(704) 661-6601

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1851449086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 CAMDEN RD",
            "address_2": "SUITE 107-227",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282034690",
            "telephone_number": "704-661-6601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 CAMDEN RD",
            "address_2": "SUITE 107-227",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282034690",
            "telephone_number": "704-661-6601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENDRICK HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BURCH",
        "authorized_official_first_name": "DETRON",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MANGER",
        "authorized_official_telephone_number": "704-661-6601",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC3623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olivia Marie Henderson
• Regina L. Henderson, D.D.S
• Sydnee Jaye Henderson
• William James Henderson, OD
• Jill Lynne Hendra, DO
• Danielle Nicole Hendrick, MD
• David Keaton Hendrix
• Kimberly Black Hendrix, M.D.
• Madeline Claire Hendrix, MD
• Nneka Avery Hendrix, MD

• Home Health Agency in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Home Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.