Organization Active NPI

Personal Care Services of the Carolinas 1, LLC

  • In Home Supportive Care Agency
  • Charlotte, NC
National Provider Identifier
1922644483
Registry record updated Nov 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
PERSONAL CARE SERVICES OF THE CAROLINAS 1, LLC
Practice address
4822 Albemarle Rd Ste 150
Charlotte, NC 28205-6668
Phone
(704) 890-9587
NPI assigned
Nov 20, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2019

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

Authorized official

Name
Mrs. Latrisha Huntley Anderson
Title
Director
Phone
(704) 890-9587

Specialties & licenses 1

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

Addresses

Primary practice location

4822 Albemarle Rd Ste 150
Charlotte, NC 28205-6668

Mailing address

2821 Bancroft St
Charlotte, NC 28206-3527
Phone (704) 890-9587

National Provider Directory

National Provider Directory

Locations

4822 Albemarle Rd
Ste 150
Charlotte, NC 28205
Phone (704) 890-9587

NPI Registry JSON

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

{
    "created_epoch": "1574208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574208000000",
    "number": "1922644483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2821 BANCROFT ST",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282063527",
            "telephone_number": "704-890-9587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4822 ALBEMARLE RD STE 150",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282056668",
            "telephone_number": "704-890-9587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSONAL CARE SERVICES OF THE CAROLINAS 1, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-20",
        "last_updated": "2019-11-20",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "LATRISHA",
        "authorized_official_middle_name": "HUNTLEY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "704-890-9587",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Nov 20, 2019; 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.