Active NPI
Seva Healthcare, LLC
- In Home Supportive Care Agency
- Charlotte, NC
National Provider Identifier
1962791715
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- License
- HC3879
- Legal business name
- SEVA HEALTHCARE, LLC
- Practice address
- 1900 Abbott St Ste 101
Charlotte, NC 28203-4497 - Phone
- (704) 919-0955
- Fax
- (704) 919-0998
- NPI assigned
- Apr 1, 2011
- 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
- Mrs. Kulvinder Kaur Hijazin
- Title
- Owner, President, Agency Director
- Phone
- (704) 919-0955
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Infusion Agency | 251F00000X | HC3879 | NC | |
| Nursing Care Agency | 251J00000X | HC3879 | NC | |
| In Home Supportive Care Agency | 253Z00000X | HC3879 | NC | Primary |
Addresses
Primary practice location
1900 Abbott St Ste 101
Charlotte, NC 28203-4497
Mailing address
1900 Abbott St Ste 101
Charlotte, NC 28203-4497
Phone (704) 919-0955
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3418749 | Other | NC | MEDICAID COMMUNITY ALTERNATIVE PROGRAM |
Other names 1
- BrightStar of Charlotte, BrightStar HealthCare Charlotte
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 34D2026640 | Brightstar of Charlotte | Certificate of waiver | Jul 5, 2027 |
National Provider Directory
National Provider DirectoryLocations
1900 Abbott St
Ste 101
Charlotte, NC 28203
Phone (704) 919-0955
5950 Fairview Rd
Ste 230
Charlotte, NC 28210
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301616000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1580860800000",
"number": "1962791715",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1900 ABBOTT ST STE 101",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282034497",
"telephone_number": "704-919-0955",
"fax_number": "704-919-0998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 ABBOTT ST STE 101",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282034497",
"telephone_number": "704-919-0955",
"fax_number": "704-919-0998"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SEVA HEALTHCARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-04-01",
"last_updated": "2020-02-05",
"certification_date": "2020-02-05",
"status": "A",
"authorized_official_last_name": "HIJAZIN",
"authorized_official_first_name": "KULVINDER",
"authorized_official_middle_name": "KAUR",
"authorized_official_title_or_position": "OWNER, PRESIDENT, AGENCY DIRECTOR",
"authorized_official_telephone_number": "704-919-0955",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "251F00000X",
"taxonomy_group": "",
"desc": "Home Infusion",
"state": "NC",
"license": "HC3879",
"primary": false
},
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": "NC",
"license": "HC3879",
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "NC",
"license": "HC3879",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID COMMUNITY ALTERNATIVE PROGRAM",
"identifier": "3418749",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "BrightStar of Charlotte, BrightStar HealthCare Charlotte",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "BrightStar of Charlotte, BrightStar HealthCare Charlotte",
"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 Feb 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.