ECHO PARK INTEGRATED INC (NPI# 1487276242) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487276242 |
| Entity Type | Organization |
| Organization Name | ECHO PARK INTEGRATED INC |
| Practice Address |
1313 N Tryon St Charlotte NC 28206-2721 |
| Mailing Address |
3921 Cameron Creek Dr Matthews NC 28105-6772 |
| Practice Telephone | 7046045677 |
| Enumeration Date | 2020-05-14 |
| Last Update Date | 2020-05-14 |
| Authorized Official Name | GRACE DAVID (PRESIDENT) |
| Authorized Official Telephone | 7046045677 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 253Z00000X | In Home Supportive Care | Agencies | ||
| Y | 251E00000X | Home Health | Agencies |
| Other Name | Type Code |
|---|---|
| ECHO PARK HEALTHCARE AGENCY | Doing Business As Name - Organization |
| ECHO PARK INTEGRATED INC | Former Legal Business Name - Organization |
| Street Address |
1313 N TRYON ST |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28206-2721 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457552614 | Symmetry Behavioral Health Systems, LLC | Case Management | 1313 N Tryon St, Suite 2, Charlotte, NC 28206-2721 | 2007-05-29 |
| 1942703582 | Integrated Healthcare Innovation Inc. | Internal Medicine | 1313 N Tryon St, Charlotte, NC 28206-2721 | 2018-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861019150 | Novant Medical Group, Inc. | Family Medicine | 2701 Statesville Ave., Charlotte, NC 28206 | 2020-07-02 |
| 1609433291 | Life Interrupted Counseling Services | Counselor | 4045 N Tryon St Ste A, Charlotte, NC 28206 | 2019-05-20 |
| 1295141216 | Taqiyah Camyah Barber | Prosthetic/Orthotic Supplier | 3829 Perennial Terrace Dr, #g, Charlotte, NC 28206 | 2014-07-10 |
| 1386976033 | Olugboyega Remi Fisher | Community Health Worker | 1801 N.tryon Street, Suiteb114, Charlotte, NC 28206 | 2010-02-05 |
| 1821225699 | Alzenia Kelly Morris | Counselor | 1801 N Tryon Street Ste 339, Charlotte, NC 28206 | 2009-06-18 |
| 1942479936 | American Current Care of North Carolina PC | Clinic/Center | 2835 Jeff Adams Drive, Suite A, Charlotte, NC 28206 | 2008-02-25 |
| 1992823629 | Shari J Baum | Preventive Medicine | 2830 North I-85, Suite A and B, Charlotte, NC 28206 | 2007-03-27 |
| 1255479135 | Tameka Denise Jenkins | Counselor | 1600 Norris Ave., Charlotte, NC 28206 | 2007-02-02 |
| 1871655803 | Dwight Hollier | Counselor | 1801 North Tryon Street, Suite 309, Charlotte, NC 28206 | 2006-12-15 |
| 1093213621 | Mishelle L Lockerby | Counselor | 5108 Reagan Dr, Charlotte, NC 28206 | 2018-01-29 |
| Find all providers in zip 28206 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245831361 | Us Advocate Care LLC | Home Health | 1981 J N Pease Pl Ste 103, Charlotte, NC 28262-4529 | 2020-11-04 |
| 1467052688 | Vital Stability Home Care Services LLC | Home Health | 10130 Mallard Creek Rd Ste 338, Charlotte, NC 28262-6001 | 2020-10-27 |
| 1063011724 | Andreas Family Services LLC | Home Health | 9700 Research Dr Ste 135e, Charlotte, NC 28262-8577 | 2020-10-22 |
| 1649882473 | Ashers Enterprises | Home Health | 7010 Sycamore Grove Ct, Charlotte, NC 28227-3017 | 2020-08-21 |
| 1952926768 | American Patriot Services LLC | Home Health | 3557 N Sharon Amity Rd Ste 202, Charlotte, NC 28205-8936 | 2020-06-08 |
| 1831713593 | Ummah Care LLC | Home Health | 537 W Sugar Creek Rd Ste 202, Charlotte, NC 28213-6102 | 2020-05-28 |
| 1962022889 | Essential Healthcare & Supplies Inc | Home Health | 3557 N Sharon Amity Rd Ste 100-102, Charlotte, NC 28205-8849 | 2020-04-21 |
| 1275161580 | Londyn Homecare Agency L.l.c | Home Health | 1914j.n. Place, Charlotte, NC 28262 | 2020-03-31 |
| 1154953495 | Loving Hearts Home Care One,l.l.c. | Home Health | 2925 E Independence Blvd Ste 224, Charlotte, NC 28205-7034 | 2020-02-05 |
| 1225669682 | Dequincy Cornish | Home Health | 7506 E Independence Blvd Ste 112, Charlotte, NC 28227-9456 | 2020-02-03 |
| 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.