OUR HOME AT HOME LLC (NPI# 1306461926) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306461926 |
| Entity Type | Organization |
| Organization Name | OUR HOME AT HOME LLC |
| Practice Address |
4601 Waterford Knoll Dr Apt 1724 Charlotte NC 28226-6015 |
| Practice Telephone | 2167992908 |
| Enumeration Date | 2020-06-09 |
| Last Update Date | 2020-06-09 |
| Authorized Official Name | CEARIRA S COWAN (ORGANIZER) |
| Authorized Official Telephone | 2167992908 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
Nursing & Custodial Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922623792 | Our Home At Home LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4601 Waterford Knoll Dr Apt 1724, Charlotte, NC 28226-6015 | 2020-06-08 |
| Street Address |
4601 WATERFORD KNOLL DR APT 1724 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28226-6015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922623792 | Our Home At Home LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4601 Waterford Knoll Dr Apt 1724, Charlotte, NC 28226-6015 | 2020-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841837507 | Southeast Vulvar Clinic, Pllc | Dermatology | 6406 Carmel Road, Suite 309, Charlotte, NC 28226 | 2019-12-02 |
| 1427540012 | Kenneth William Riley Jr. | Behavioral Analyst | 10953 Park Rd., Charlotte, NC 28226 | 2018-05-31 |
| 1780103838 | Tamara Andres | Specialist/Technologist | 2518 Lawton Bluff Rd., Charlotte, NC 28226 | 2017-09-10 |
| 1083132609 | Xenon Anesthesia of North Carolina Pllc | Anesthesiology | 7006 Shannon Willow Road, Charlotte, NC 28226 | 2017-09-04 |
| 1104354117 | Lauren Nicole Brindisi | Chiropractor | 11230 Carmel Commons Blvd., Charlotte, NC 28226 | 2017-06-03 |
| 1346790821 | Carolinas Skin Center Pa | Plastic Surgery | 3315 Springbank Lane, Suite 202, Charlotte, NC 28226 | 2016-10-10 |
| 1871040469 | Julie R Jackson | Counselor | 7810 Prineville-mathews Road, Charlotte, NC 28226 | 2016-09-01 |
| 1518346105 | Christopher Abernathy | Dentist | 3111 Springbank Ln Ste A, Charlotte, NC 28226 | 2015-05-28 |
| 1285067504 | Amy N Bullock | Physical Therapist | 7207 Marcel Ln Apt 1138, Charlotte, NC 28226 | 2013-08-11 |
| 1528405297 | Elevate Counseling and Clinical Services, Pllc | Community/Behavioral Health | 107220 Carmel Commons Blvd., Ste. 320, Charlotte, NC 28226 | 2013-06-04 |
| Find all providers in zip 28226 | ||||
| Taxonomy Code | 311ZA0620X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| Specialization | Adult Care Home |
| 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. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124645544 | Charlotte Sp Senior Housing Opco, LLC | Custodial Care Facility | 6041 Piedmont Row Drive, Charlotte, NC 28208 | 2020-07-01 |
| 1104456011 | Regina Williams | Custodial Care Facility | 511 Tansy Drive, Charlotte, NC 28214 | 2020-01-20 |
| 1184155954 | Stmichaels Healthcare Services | Custodial Care Facility | 5633 Monroe Rd Ste E, Charlotte, NC 28212-5591 | 2017-03-23 |
| 1780058909 | Rose Palms Light of Hope | Custodial Care Facility | 8116 S Tryon St, Ste B3,box123, Charlotte, NC 28273-4300 | 2015-11-26 |
| 1942561527 | Grant Adult Care Homes, Inc. | Custodial Care Facility | 3613 Havenwood Rd, Charlotte, NC 28205-4724 | 2012-05-31 |
| 1932470838 | Easter Seals Ucp North Carolina & Virginia, Inc. | Custodial Care Facility | 622 Bass Ln, Charlotte, NC 28270-2231 | 2012-01-24 |
| 1619202710 | Unlimited Possibilities Family Home Care | Custodial Care Facility | 5003 Tewkesbury Rd, Charlotte, NC 28269-4557 | 2009-10-07 |
| 1770794620 | Shady Harbour Adult Living | Custodial Care Facility | 908 Tom Hunter Road, Charlotte, NC 28213 | 2007-05-24 |
| 1477683308 | Autism Services of Mecklenburg County, Inc. | Custodial Care Facility | 2211-a Executive Street, Charlotte, NC 28208-3655 | 2007-03-07 |
| 1477699411 | Easter Seals Ucp North Carolina & Virginia, Inc. | Custodial Care Facility | 1351 Ashcraft Ln, Charlotte, NC 28209-2422 | 2007-01-29 |
| Find all providers in CHARLOTTE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.