OUR HOME AT HOME LLC


Address: 4601 Waterford Knoll Dr Apt 1724, Charlotte, NC 28226-6015
Phone: 2167992908

OUR HOME AT HOME LLC (NPI# 1922623792) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1922623792
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
Mailing Telephone 2167992908
Enumeration Date 2020-06-08
Last Update Date 2020-06-08
Authorized Official Name MISS CEARIRA SHANEA COWAN (ORGANIZER)
Authorized Official Telephone 2167992908
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 320900000X Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities Residential Treatment Facilities
Y 253Z00000X In Home Supportive Care Agencies

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1306461926 Our Home At Home LLC Custodial Care Facility 4601 Waterford Knoll Dr Apt 1724, Charlotte, NC 28226-6015 2020-06-09

Office Location

Street Address 4601 WATERFORD KNOLL DR APT 1724
City CHARLOTTE
State NC
Zip Code 28226-6015

Providers in the same location

NPI Name Taxonomy Address Enumeration
1306461926 Our Home At Home LLC Custodial Care Facility 4601 Waterford Knoll Dr Apt 1724, Charlotte, NC 28226-6015 2020-06-09

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 253Z00000X
Grouping Agencies
Classification In Home Supportive Care

Taxonomy Definition

An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.
Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1043811573 Innovative Home Assistance LLC In Home Supportive Care 8501 Tower Point Dr Ste B40, Charlotte, NC 28227-7849 2020-11-02
1417555848 Fumani Investment LLC In Home Supportive Care 4822 Albemarle Rd Ste 280-b, Charlotte, NC 28205-6668 2020-10-16
1447858493 Concept of Care Inc In Home Supportive Care 5115 Osage Cir, Charlotte, NC 28269-4693 2020-10-13
1992311427 Astounding Healthcare In Home Supportive Care 10931-d7 E. Independent Boulevard, Charlotte, NC 28204-2820 2020-09-21
1881208668 Selfless Servants Home Care LLC In Home Supportive Care 520 E Hebron St Ste A-4, Charlotte, NC 28273-5989 2020-08-31
1619580552 Devera Moore Camp In Home Supportive Care 2329 The Plz, Charlotte, NC 28205-2403 2020-08-29
1073125217 Reference Home Care, LLC In Home Supportive Care 3406 June Dr, Charlotte, NC 28205-7114 2020-08-19
1316558067 New Horizon Home Care LLP In Home Supportive Care 5736 N Tryon St Ste 227d, Charlotte, NC 28213-0820 2020-08-14
1285245514 Family First Healthcare LLC In Home Supportive Care 4921 Albemarle Rd Ste 114, Charlotte, NC 28205-6654 2020-08-11
1780294389 Funke Yenrin Amanah In Home Supportive Care 3555 N Sharon Amity Rd Ste 201, Charlotte, NC 28205-8993 2020-08-07
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Competitor

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City CHARLOTTE
Zip Code 28226

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Dataset Information

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.

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