Active NPI
Family Homecare Services LLC
- Custodial Care Facility
- Charlotte, NC
National Provider Identifier
1871721803
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Custodial Care Facility
- Legal business name
- FAMILY HOMECARE SERVICES LLC
- Doing business as
- FAMILY HOMECARE SERVICES INC
- Practice address
- 1801 N Tryon St
Ste 202
Charlotte, NC 28206-2704 - Phone
- (704) 272-7068
- Fax
- (704) 272-7098
- NPI assigned
- Jun 29, 2009
- 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
- Tega L Burns
- Title
- President
- Phone
- (704) 272-7068
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Custodial Care Facility | 311Z00000X | Primary |
Addresses
Primary practice location
1801 N Tryon St
Ste 202
Charlotte, NC 28206-2704
Mailing address
PO Box 233
Peachland, NC 28133-0233
Phone (704) 272-7068
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3418252 | Medicaid | NC |
Other names 1
- FAMILY HOMECARE SERVICES INC
National Provider Directory
National Provider Directory- Tax ID family
- Family Homecare Services Inc
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
-
- Mental Illness Community Based Residential Treatment Facility
- Wadesboro, NC
- NPI 1548458763
-
- Custodial Care Facility
- Peachland, NC
- NPI 1639329709
-
- Custodial Care Facility
- Troy, NC
- NPI 1689824336
-
- Custodial Care Facility
- Peachland, NC
- NPI 1982759767
Locations
1801 N Tryon St
Ste 202
Charlotte, NC 28206
Phone (704) 272-7068
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246233600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1246233600000",
"number": "1871721803",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 233",
"city": "PEACHLAND",
"state": "NC",
"postal_code": "281330233",
"telephone_number": "704-272-7068",
"fax_number": "704-272-7098"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1801 N TRYON ST",
"address_2": "STE 202",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282062704",
"telephone_number": "704-272-7068",
"fax_number": "704-272-7098"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILY HOMECARE SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-06-29",
"last_updated": "2009-06-29",
"status": "A",
"authorized_official_last_name": "BURNS",
"authorized_official_first_name": "TEGA",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "704-272-7068"
},
"taxonomies": [
{
"code": "311Z00000X",
"taxonomy_group": "",
"desc": "Custodial Care Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3418252",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "FAMILY HOMECARE SERVICES INC",
"code": "3",
"type": "Doing Business As"
}
]
}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 Jun 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.