Active NPI
Theracare Health and Wellness, LLC
- Home Health Agency
- Charlotte, NC
National Provider Identifier
1861566903
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- HC2834
- Legal business name
- THERACARE HEALTH AND WELLNESS, LLC
- Practice address
- 101 S Tryon St Ste 2700
Charlotte, NC 28280-0005 - Phone
- (704) 671-8251
- NPI assigned
- Nov 20, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Deirdre Booker Pippins
- Title
- Administrator
- Phone
- (704) 671-8251
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | |||
| Home Health Agency | 251E00000X | HC2834 | NC | Primary |
Addresses
Primary practice location
101 S Tryon St Ste 2700
Charlotte, NC 28280-0005
Mailing address
101 S Tryon St Ste 2700
Charlotte, NC 28280-0005
Phone (704) 671-8251
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CBT035 | Medicaid | SC | |
| 6601216 | Medicaid | NC | |
| EX0903 | Medicaid | SC |
Other names 1
- TheraCare Health and Wellness, LLC
National Provider Directory
National Provider Directory- Tax ID family
- Theracare Health and Wellness LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- Charlotte, NC
- NPI 1295145563
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163980800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1714003200000",
"number": "1861566903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 S TRYON ST STE 2700",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282800005",
"telephone_number": "704-671-8251"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 S TRYON ST STE 2700",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282800005",
"telephone_number": "704-671-8251"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THERACARE HEALTH AND WELLNESS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-20",
"last_updated": "2024-04-25",
"certification_date": "2024-04-25",
"status": "A",
"authorized_official_last_name": "PIPPINS",
"authorized_official_first_name": "DEIRDRE",
"authorized_official_middle_name": "BOOKER",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "704-671-8251"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NC",
"license": "HC2834",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "CBT035",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6601216",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "EX0903",
"state": "SC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "TheraCare Health and Wellness, LLC",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Charlotte, NC
- Theodore H. Morris Jr DDS. PLLC
- Sophia Helena Theodos, MD, MPH
- Elisabeth Neely Theodossiou, OTR/L
- Ashley Theogene, COTA
- Theracare Health & Wellness
- Therapeutic Community Concept LLC
- Therapeutic Community Connections, PLLC
- Therapeutic Embrace Occupational Therapy Services
- Therapeutic Encouraging Academic Motivational Support Services LLC
- Therapeutic Family and Community Services
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 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.