Organization Active NPI

Theracare Health and Wellness, LLC

  • Home Health Agency
  • Charlotte, NC
National Provider Identifier
1861566903
Registry record updated Apr 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HC2834 Issued in NC
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

Updated by the provider on Apr 25, 2024

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
CBT035MedicaidSC
6601216MedicaidNC
EX0903MedicaidSC

Other names 1

  • TheraCare Health and Wellness, LLC Other name

National Provider Directory

National Provider Directory
Tax ID family
Theracare Health and Wellness LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

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

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.

Verify at the official NPI Registry.