Organization Active NPI

Comfort Care at Home

  • In Home Supportive Care Agency
  • Charlotte, NC
National Provider Identifier
1942908264
Registry record updated Feb 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
COMFORT CARE AT HOME
Practice address
2017 Beatties Ford Rd Ste E
Charlotte, NC 28216-4576
Phone
(980) 408-6815
NPI assigned
Feb 16, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2023

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

Authorized official

Name
Ms. Jacquelyn Roseann Taylor
Title
Owner
Phone
(704) 713-4820

Specialties & licenses 1

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

Addresses

Primary practice location

2017 Beatties Ford Rd Ste E
Charlotte, NC 28216-4576

Mailing address

611 Owen Blvd
Charlotte, NC 28213-5651
Phone (704) 713-4820

Other identifiers 1

IdentifierTypeStateIssuer
HC6858OtherNCHOME CARE LICENSE

National Provider Directory

National Provider Directory

Locations

2017 Beatties Ford Rd
Ste E
Charlotte, NC 28216
Phone (980) 408-6815

NPI Registry JSON

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

{
    "created_epoch": "1676505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676505600000",
    "number": "1942908264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 OWEN BLVD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282135651",
            "telephone_number": "704-713-4820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2017 BEATTIES FORD RD STE E",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282164576",
            "telephone_number": "980-408-6815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMFORT CARE AT HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-16",
        "last_updated": "2023-02-16",
        "certification_date": "2023-02-16",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "JACQUELYN",
        "authorized_official_middle_name": "ROSEANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-713-4820",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOME CARE LICENSE",
            "identifier": "HC6858",
            "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 Feb 16, 2023; 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.