Active NPI
Nebula Consulting Group LLC
- In Home Supportive Care Agency
- Charlotte, NC
National Provider Identifier
1982301628
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.