PROFESSIONAL CARE HOME HEALTH SERVICES (NPI# 1528107414) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528107414 |
| Entity Type | Organization |
| Organization Name | PROFESSIONAL CARE HOME HEALTH SERVICES |
| Practice Address |
3126 Milton Rd Suite 217 Charlotte NC 28215-3778 |
| Practice Telephone | 7045367326 |
| Practice Fax Number | 7045367147 |
| Mailing Telephone | 7045367326 |
| Mailing Fax Number | 7045367147 |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | TERESIA MEDLEY (ADMINISTRATOR) |
| Authorized Official Telephone | 7045367326 |
| Authorized Official Credential | MSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 0000000 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235396466 | Professional Care Home Health Services | Case Management | 3721 Eastway Dr, Charlotte, NC 28205-6266 | 2008-05-16 |
| 1972656825 | Professional Care Home Health Services | Nurse's Aide | 2070 Cloverdale Ave., Suite C, Winston-salem, NC 27103 | 2007-01-22 |
| 1407878382 | Professional Care Home Health Services | Nurse's Aide | 3126 Milton Rd, Suite 217, Charlotte, NC 28215-3778 | 2006-07-23 |
| 1871745919 | Professional Care Home Health Services | Durable Medical Equipment & Medical Supplies | 3137 Amity Ct, Suite 400, Charlotte, NC 28215-4935 | 2008-10-21 |
| 1245482603 | Professional Care Home Health Services | Nursing Care | 2070 Cloverdale Ave, Suite C, Winston-salem, NC 27103-2503 | 2008-10-16 |
| 1982856340 | Professional Care Home Health Services | Nursing Care | 3137 Amity Court, Suite 400, Charlotte, NC 28215 | 2008-10-16 |
| 1750434635 | Professional Care Home Health Services | Nurse's Aide | 2070 Cloverdale Ave., Suite C, Winston-salem, NC 27103 | 2007-01-22 |
| Street Address |
3126 MILTON RD SUITE 217 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28215-3778 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407878382 | Professional Care Home Health Services | Nurse's Aide | 3126 Milton Rd, Suite 217, Charlotte, NC 28215-3778 | 2006-07-23 |
| 1972621399 | Infinite Care Home Health Services Inc | Home Health Aide | 3126 Milton Rd, Suite 217, Charlotte, NC 28215-3778 | 2007-03-26 |
| 1588792386 | Infinite Care Home Health Services, Inc | Home Health Aide | 3126 Milton Rd, Suite 217, Charlotte, NC 28215-3778 | 2007-03-01 |
| 1033262233 | Professional Care Community Service | Day Training, Developmentally Disabled Services | 3126 Milton Rd, Suite 217, Charlotte, NC 28215-3778 | 2007-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679111769 | Lawana Ussery Hill | Case Management | 1740 Misty Morn Drive, Charlotte, NC 28215 | 2019-12-19 |
| 1053961110 | Tonya Anita Brown | Behavior Technician | 10230 White Oak Rd, Charlotte, NC 28215 | 2019-09-19 |
| 1780242412 | Mikhail A Rybin | Registered Nurse | 7502 Malden Park Drive, Charlotte, NC 28215 | 2019-05-29 |
| 1033698527 | Novant Medical Group, Inc | Internal Medicine | 8201 Healthcare Loop Ste 304, Charlotte, NC 28215 | 2018-08-07 |
| 1538646088 | Andrew Simpson | Pharmacist | 3805 Rocky River Rd, Charlotte, NC 28215 | 2018-07-26 |
| 1154818425 | Korinne A Umlauft | Specialist/Technologist | 8618 Terra Cotta Dr, Charlotte, NC 28215 | 2018-04-22 |
| 1477058196 | Harmony Health Pllc | Community/Behavioral Health | 8633 Pine Circle, Charlotte, NC 28215 | 2018-03-26 |
| 1639671357 | Total Renal Care of North Carolina LLC | Clinic/Center | 9562 Rocky River Rd, Charlotte, NC 28215 | 2018-03-08 |
| 1588166060 | Allcare Medical Center,pllc | Internal Medicine | 7401 The Plaza, Charlotte, NC 28215 | 2018-03-01 |
| 1851891774 | Bio-medical Applications of North Carolina, Inc. | Clinic/Center | 3211 Bishops Way Lane, Charlotte, NC 28215 | 2018-02-16 |
| Find all providers in zip 28215 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972153328 | Monida Fields | Case Manager/Care Coordinator | 4845 Ashley Park Ln Apt 220, Charlotte, NC 28210-4134 | 2019-09-18 |
| 1760970768 | Andra R Summey | Case Manager/Care Coordinator | 8210 Deodora Cedar Ln, Charlotte, NC 28215-7140 | 2018-04-25 |
| 1265983779 | Lindsey Nicole Riesselman | Case Manager/Care Coordinator | 10955 Winds Crossing Dr Ste 300, Charlotte, NC 28273-6778 | 2016-10-19 |
| 1225482847 | Richard Wright | Case Manager/Care Coordinator | 338 S Cochran Ave, Charlotte, MI 48813-1595 | 2016-04-20 |
| 1538526678 | Jacqueline Terrell Inman | Case Manager/Care Coordinator | 4203 Plato Cir, Charlotte, NC 28208-5853 | 2016-01-20 |
| 1750751715 | Deanna M Williams | Case Manager/Care Coordinator | 7459 Elwood Dr, Charlotte, NC 28227-1266 | 2015-10-03 |
| 1124420070 | Chontaye Michelle Richardson | Case Manager/Care Coordinator | 16803 Silversword Dr, Charlotte, NC 28213-4883 | 2014-09-23 |
| 1326469495 | Juani Thomas | Case Manager/Care Coordinator | 709 N Davidson St, Suite E, Charlotte, NC 28202-2565 | 2013-12-17 |
| 1932540630 | Tony Rontice Turner | Case Manager/Care Coordinator | 7352 Rose Terrace Ct, Charlotte, NC 28215-3682 | 2013-07-10 |
| 1407116312 | Debra Redfern | Case Manager/Care Coordinator | 9905 Mattie Ct, Charlotte, NC 28213-4719 | 2012-05-24 |
| 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.