Organization Active NPI

Seva Healthcare, LLC

  • In Home Supportive Care Agency
  • Charlotte, NC
National Provider Identifier
1962791715
Registry record updated Feb 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
HC3879 Issued in NC
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

Updated by the provider on Feb 5, 2020

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
3418749OtherNCMEDICAID COMMUNITY ALTERNATIVE PROGRAM

Other names 1

  • BrightStar of Charlotte, BrightStar HealthCare Charlotte Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D2026640Brightstar of Charlotte1900 Abbott Street, Suite101, Charlotte, NC 28203Certificate of waiverJul 5, 2027

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.