Organization Active NPI

Astounding Healthcare

  • In Home Supportive Care Agency
  • Charlotte, NC
National Provider Identifier
1992311427
Registry record updated Sep 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
ASTOUNDING HEALTHCARE
Practice address
10931-D7 E. Independent Boulevard
Charlotte, NC 28204-2820
Phone
(704) 461-3639
NPI assigned
Sep 21, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2020

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

Authorized official

Name
Adolf A AghogahNPI 1205752284
Title
Administrator
Phone
(704) 461-3639

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

10931-D7 E. Independent Boulevard
Charlotte, NC 28204-2820

Mailing address

1099 Matchstick PL SW
Concord, NC 28025-4706
Phone (704) 461-3639

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Charlotte Other

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1600646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600646400000",
    "number": "1992311427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1099 MATCHSTICK PL SW",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280254706",
            "telephone_number": "704-461-3639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10931-D7 E. INDEPENDENT BOULEVARD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282042820",
            "telephone_number": "704-461-3639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASTOUNDING HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-21",
        "last_updated": "2020-09-21",
        "certification_date": "2020-09-18",
        "status": "A",
        "authorized_official_last_name": "AGHOGAH",
        "authorized_official_first_name": "ADOLF",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "704-461-3639"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Charlotte",
            "affiliation": "N",
            "endpointDescription": "Astounding Healthcare",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Charlotte",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Charlotte",
            "address_1": "10931-D7 E. Independent Boulevard",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282042820",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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 Sep 21, 2020; 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.