Organization Active NPI

His Grace and Mercy Home Care LLC

Doing business as chiro home care

  • In Home Supportive Care Agency
  • Charlotte, NC
National Provider Identifier
1962164426
Registry record updated Oct 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
HIS GRACE AND MERCY HOME CARE LLC
Doing business as
chiro home care
Practice address
3125 Eastway Dr Ste 213
Charlotte, NC 28205-5643
Phone
(980) 819-7540
NPI assigned
Oct 12, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2021

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

Authorized official

Name
Nikia RoseboroNPI 1871161877
Title
Owner
Phone
(980) 819-7540

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

3125 Eastway Dr Ste 213
Charlotte, NC 28205-5643

Mailing address

3125 Eastway Dr Ste 213
Charlotte, NC 28205-5643
Phone (980) 819-7540

Other identifiers 1

IdentifierTypeStateIssuer
210776MedicaidNC

Other names 1

  • chiro home care Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL chirohomecare@yahoo.com Direct

National Provider Directory

National Provider Directory

Locations

3125 Eastway Dr
Ste 213
Charlotte, NC 28205
Phone (704) 621-2201

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": "1633996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633996800000",
    "number": "1962164426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3125 EASTWAY DR STE 213",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282055643",
            "telephone_number": "980-819-7540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3125 EASTWAY DR STE 213",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282055643",
            "telephone_number": "980-819-7540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIS GRACE AND MERCY HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-12",
        "last_updated": "2021-10-12",
        "certification_date": "2021-10-12",
        "status": "A",
        "authorized_official_last_name": "ROSEBORO",
        "authorized_official_first_name": "NIKIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "980-819-7540"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "210776",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "chirohomecare@yahoo.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3125 Eastway Dr Ste 213",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282055643",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "chiro home care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 12, 2021; 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.