Weldy Life Enterprises Inc.

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

HC3905 Issued in NC

Legal business name

WELDY LIFE ENTERPRISES INC.

Doing business as

Synergy HomeCare of Lake Norman and Charlotte

Practice address

11330 Vanstory Dr
Huntersville, NC 28078-8143

Phone

(704) 897-0496

Fax

(704) 897-0544

NPI assigned

Oct 7, 2009

Organization subpart

No

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

Authorized official

Name

Brent Weldy

Title

President

Phone

(704) 897-0496

Specialties & licenses 1

Addresses

Other names 1

• Synergy HomeCare of Lake Norman and Charlotte Doing business as

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

{
    "created_epoch": "1254873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254873600000",
    "number": "1922333038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11330 VANSTORY DR",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280788143",
            "telephone_number": "704-897-0496",
            "fax_number": "704-897-0544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11330 VANSTORY DR",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280788143",
            "telephone_number": "704-897-0496",
            "fax_number": "704-897-0544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELDY LIFE ENTERPRISES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-07",
        "last_updated": "2009-10-07",
        "status": "A",
        "authorized_official_last_name": "WELDY",
        "authorized_official_first_name": "BRENT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-897-0496"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NC",
            "license": "HC3905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Synergy HomeCare of Lake Norman and Charlotte",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• In Home Supportive Care Agency in Huntersville, NC
• Providers in Huntersville, NC by specialty
• In Home Supportive Care Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.

Verify at the official NPI Registry.