Organization Active NPI

Gifted Services LLC

  • In Home Supportive Care Agency
  • Charlotte, NC
National Provider Identifier
1922607621
Registry record updated Oct 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
GIFTED SERVICES LLC
Practice address
3555 N Sharon Amity Rd
Charlotte, NC 28205-8935
Phone
(980) 498-2031
NPI assigned
Oct 22, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2020

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

Authorized official

Name
Mrs. Funke Yenrin AmanahNPI 1780294389
Title
Ceo/Managing Director
Phone
(980) 428-3099

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

3555 N Sharon Amity Rd
Charlotte, NC 28205-8935

Mailing address

3555 N Sharon Amity Rd
Charlotte, NC 28205-8935
Phone (980) 498-2031

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL NCTracks Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

3555 N Sharon Amity Rd
Charlotte, NC 28205
Phone (704) 536-8332

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1603324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603324800000",
    "number": "1922607621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3555 N SHARON AMITY RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282058935",
            "telephone_number": "980-498-2031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3555 N SHARON AMITY RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282058935",
            "telephone_number": "980-498-2031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIFTED SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-22",
        "last_updated": "2020-10-22",
        "certification_date": "2020-10-22",
        "status": "A",
        "authorized_official_last_name": "AMANAH",
        "authorized_official_first_name": "FUNKE",
        "authorized_official_middle_name": "YENRIN",
        "authorized_official_title_or_position": "CEO/MANAGING DIRECTOR",
        "authorized_official_telephone_number": "980-428-3099",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "NCTracks",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Excel",
            "address_1": "3555 N Sharon Amity Rd",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282058935",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Oct 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.