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REASSURANCE HOME HEALTH AIDE NPI 1417386103


NPI Information

NPI: 1417386103
Provider Name: REASSURANCE HOME HEALTH AIDE
Classification: Custodial Care Facility - 311ZA0620X
Entity Type: Organization

Specialization: Adult Care Home

Address:
4510 CHRISTENBURY HILLS LN
CHARLOTTE, NC
ZIP 28269
Phone: (704) 904-6246
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REASSURANCE HOME HEALTH AIDE is an adult care home custodial care facility in Charlotte, NC. The provider is a custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. REASSURANCE HOME HEALTH AIDE NPI is 1417386103. The provider is registered as an organization entity type.

The provider's business location address is:

4510 CHRISTENBURY HILLS LN
CHARLOTTE, NC
ZIP 28269-980
Phone: (704) 904-6246

The provider's authorized official is Natalie A Frederick .
The authorized official title is Owner and has the following contact phone number (704) 904-6246.

The enumeration date for this NPI number is 11/4/2013 and was last updated on 11/4/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1311ZA0620XCustodial Care FacilityAdult Care Home406971NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12412454366MEDICAIDNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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