Organization Active NPI

Mooresville Home Care

  • Respite Care
  • Mooresville, NC
National Provider Identifier
1992199004
Registry record updated Mar 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Respite CareTaxonomy code 385H00000X
Legal business name
MOORESVILLE HOME CARE
Practice address
179 Gasoline Aly
Suite 210
Mooresville, NC 28117-6513
Phone
(704) 978-8835
NPI assigned
Mar 26, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2015

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

Authorized official

Name
Cara Smith Baines
Title
Owner/Operator
Phone
(704) 978-8835

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X NC
Respite Care 385H00000X NC Primary

Addresses

Primary practice location

179 Gasoline Aly
Suite 210
Mooresville, NC 28117-6513

Mailing address

179 Gasoline Alley
Suite 210
Mooresville, NC 28117
Phone (704) 978-8835

National Provider Directory

National Provider Directory

Locations

179 Gasoline Aly
Ste 210
Mooresville, NC 28117
Phone (704) 978-8835

NPI Registry JSON

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

{
    "created_epoch": "1427328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427328000000",
    "number": "1992199004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "179 GASOLINE ALLEY",
            "address_2": "SUITE 210",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "28117",
            "telephone_number": "704-978-8835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "179 GASOLINE ALY",
            "address_2": "SUITE 210",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281176513",
            "telephone_number": "704-978-8835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOORESVILLE HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-26",
        "last_updated": "2015-03-26",
        "status": "A",
        "authorized_official_last_name": "SMITH BAINES",
        "authorized_official_first_name": "CARA",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "704-978-8835"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mooresville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2015; 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.