Organization Active NPI

Selfless Servants Home Care LLC

  • In Home Supportive Care Agency
  • Charlotte, NC
National Provider Identifier
1881208668
Registry record updated Sep 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
SELFLESS SERVANTS HOME CARE LLC
Doing business as
Selfless Servants Home Care LLC
Practice address
520 E Hebron St Ste a-4
Charlotte, NC 28273-5989
Phone
(980) 333-1135
NPI assigned
Aug 31, 2020
Last updated
Sep 29, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2020

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

Authorized official

Name
Lakisha Thompson
Title
Owner/Director
Phone
(980) 333-1135

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

520 E Hebron St Ste a-4
Charlotte, NC 28273-5989

Mailing address

520 E Hebron St Ste a-4
Charlotte, NC 28273-5989
Phone (980) 333-1135

Other names 1

  • Selfless Servants Home Care LLC Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Selflessservantshomecare@gmail.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

520 E Hebron St
Ste A4
Charlotte, NC 28273
Phone (980) 333-1135

NPI Registry JSON

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

{
    "created_epoch": "1598832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601337600000",
    "number": "1881208668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 E HEBRON ST STE A-4",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282735989",
            "telephone_number": "980-333-1135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 E HEBRON ST STE A-4",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282735989",
            "telephone_number": "980-333-1135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELFLESS SERVANTS HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-31",
        "last_updated": "2020-09-29",
        "certification_date": "2020-09-29",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "LAKISHA",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "980-333-1135"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Selflessservantshomecare@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Home Care Email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "9917 Woody Ridge Rd",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282735776",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Selfless Servants Home Care LLC",
            "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 Sep 29, 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.