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
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nikia Roseboro
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 210776 | Medicaid | NC |
Other names 1
- chiro home care
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | chirohomecare@yahoo.com | Direct |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Home Health Aide
- Charlotte, NC
- NPI 1871161877
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
- Hirsch Chiropractic & Wellness Clinic, Inc.
- Christie Marianne Hirsch-Reilly, DO
- Emily Hirsch, R.D.
- Holly Hirsch, RDN, LDN, CNSC
- Myriam S Hirsch, DC
- His Village Rescue Mission
- Hispanic Latino Community Resource Center (Mi Casa Su Casa Centro de Recursos)
- Erica Hitch
- Shelby Hitchcock, CCC- SLP
- Bria Hitchens
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.