Organization Active NPI

Nebula Consulting Group LLC

  • In Home Supportive Care Agency
  • Charlotte, NC
National Provider Identifier
1982301628
Registry record updated Aug 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
NEBULA CONSULTING GROUP LLC
Doing business as
Nebula Home Care
Practice address
14415 Glendon Hall LN
Charlotte, NC 28262-1642
Phone
(980) 825-0006
NPI assigned
Feb 13, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2024

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

Authorized official

Name
Roman Townsend
Title
VP
Phone
(704) 649-3830

Specialties & licenses 13

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X
Community/Behavioral Health Agency 251S00000X
In Home Supportive Care Agency 253Z00000X Primary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X
Custodial Care Facility 311Z00000X
Adult Care Home Facility 311ZA0620X
Mental Illness Community Based Residential Treatment Facility 320800000X
Substance Abuse Rehabilitation Facility 324500000X
Durable Medical Equipment & Medical Supplies 332B00000X
Transportation Network Company 342000000X
Secured Medical Transport (VAN) 343800000X
Private Vehicle 347C00000X
Transportation Broker 347E00000X

Addresses

Primary practice location

14415 Glendon Hall LN
Charlotte, NC 28262-1642

Mailing address

14415 Glendon Hall LN
Charlotte, NC 28262-1642

Other names 1

  • Nebula Home Care Doing business as

National Provider Directory

National Provider Directory

Locations

7140 Weddington Rd
Ste 104
Concord, NC 28027

NPI Registry JSON

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

{
    "created_epoch": "1676246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723507200000",
    "number": "1982301628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14415 GLENDON HALL LN",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282621642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14415 GLENDON HALL LN",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282621642",
            "telephone_number": "980-825-0006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEBULA CONSULTING GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-13",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A",
        "authorized_official_last_name": "TOWNSEND",
        "authorized_official_first_name": "ROMAN",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "704-649-3830"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "342000000X",
            "taxonomy_group": "",
            "desc": "Transportation Network Company",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343800000X",
            "taxonomy_group": "",
            "desc": "Secured Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "347E00000X",
            "taxonomy_group": "",
            "desc": "Transportation Broker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nebula Home Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Nebula 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 Aug 13, 2024; 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.