Organization Active NPI

Crimson Home Care LLC

  • Home Health Agency
  • Charlotte, NC
National Provider Identifier
1881720852
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HC3463 Issued in NC
Legal business name
CRIMSON HOME CARE LLC
Practice address
1801 N Tryon St
B 106
Charlotte, NC 28206-2704
Phone
(704) 347-1122
Fax
(704) 342-4681
NPI assigned
Feb 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Tia Thomas McCray
Title
Administrator
Phone
(704) 347-1122

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HC3463 NC Primary

Addresses

Primary practice location

1801 N Tryon St
B 106
Charlotte, NC 28206-2704

Mailing address

1801 N Tryon St
B 106
Charlotte, NC 28206-2704
Phone (704) 347-1122

Other identifiers 1

IdentifierTypeStateIssuer
3418210MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Crimson Home Care2 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.

Locations

1801 N Tryon St
Ste B106
Charlotte, NC 28206
Phone (704) 347-1122

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881720852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 N TRYON ST",
            "address_2": "B 106",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282062704",
            "telephone_number": "704-347-1122",
            "fax_number": "704-342-4681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 N TRYON ST",
            "address_2": "B 106",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282062704",
            "telephone_number": "704-347-1122",
            "fax_number": "704-342-4681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRIMSON HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "THOMAS MCCRAY",
        "authorized_official_first_name": "TIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "704-347-1122"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC3463",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3418210",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 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.