TRISOUTH CAP SERVICES NPI 1003040965

Home Health in Charlotte, NC

NPI 1003040965 Organization Home Health

About TRISOUTH CAP SERVICES

Trisouth Cap Services is a provider established in Charlotte, North Carolina specializing in home health. The NPI number of Trisouth Cap Services is 1003040965 and was assigned on May 2009. The practitioner's primary taxonomy code is 251E00000X with license number HC3525 (NC). The provider is registered as an organization and their NPI record was last updated 13 years ago. The authorized official of this NPI record is Veronica Southerland Rn, Bsw (Administrator)

NPI

1003040965

Provider NameTRISOUTH CAP SERVICES
Provider Location Address756 TYVOLA RD SUITE 143 CHARLOTTE, NC 28217
Provider Mailing AddressPO BOX 242036 CHARLOTTE, NC 28224
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?Yes
Enumeration Date05-07-2009
Last Update Date05-07-2009


Primary Taxonomy

Taxonomy Code251E00000X
ClassificationHome Health
TypeAgencies
License No.HC3525
License StateNC
Taxonomy DescriptionA 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.

Business Address

TRISOUTH CAP SERVICES
756 TYVOLA RD
SUITE 143
CHARLOTTE, NC
ZIP 28217
Phone: (704) 525-2505
Fax: (704) 525-2506

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Mailing Address

TRISOUTH CAP SERVICES
PO BOX 242036
CHARLOTTE, NC
ZIP 28224
Phone: (704) 525-2505
Fax: (704) 525-2506



Authorized Official

Authorized Official Name VERONICA SOUTHERLAND RN, BSW
Authorized Official TitleADMINISTRATOR
Authorized Official Phone(704) 493-3422

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
3418482MEDICAID (05)NC

Other Providers at the same location


The following 10 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1508991829MR. TERRY L MASSEY CRTC,LCSW,LISW,CCSOT
Individual
Social Worker (Clinical)756 TYVOLA RD STE 126-B
CHARLOTTE, NC 28217
(704) 491-3097
1104001882TRISOUTH HEALTH SERVICES, INC
Organization
Home Health756 TYVOLA RD SUITE 143
CHARLOTTE, NC 28217
(704) 493-3422
1700026119MRS. DOLLY WILLIAMS LPC
Individual
Counselor (Professional)756 TYVOLA RD ARCADE SQUARE BUSINESS PARK SUITE 126-B
CHARLOTTE, NC 28217
(704) 488-7534
1962637801TSH-PDN SERVICES
Organization
Nursing Care756 TYVOLA RD SUITE 143
CHARLOTTE, NC 28217
(704) 493-3422
1891066890MAYS COUNSELING SERVICES
Organization
Counselor (Mental Health)756 TYVOLA RD
CHARLOTTE, NC 28217
(704) 615-7742
1144586017SHIFTINGPARADIGMS COUNSELING AND CONSULTING PLLC
Organization
Community/Behavioral Health756 TYVOLA RD STE 126-B
CHARLOTTE, NC 28217
(704) 491-3097
1518216142COMMUNITY CARE LINK OF THE CAROLINAS, INC
Organization
Case Management756 TYVOLA RD STE 136
CHARLOTTE, NC 28217
(980) 322-7279
1396992798MRS. JULIE MARIE STAPLES MACC, LMFT, LPCA
Individual
Marriage & Family Therapist756 TYVOLA RD SUITE 109
CHARLOTTE, NC 28217
(980) 202-1292
1700018876 ANDREW DOUGLAS MARTIN MA, LPCA
Individual
Counselor (Professional)756 TYVOLA RD SUITE 109
CHARLOTTE, NC 28217
(704) 750-5524
1508028630MONITOR MEDICAL, INC.
Organization
Durable Medical Equipment & Medical Supplies756 TYVOLA RD SUITE 119
CHARLOTTE, NC 28217
(704) 599-1007

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.