TABONO CARE SERVICES
NPI 1104062967
Nurse's Aide in Charlotte, NC

Active since December 29, 2008
3701 FREEDOM DR, CHARLOTTE, NC 28208(704) 395-9496(866) 431-2587 Get Directions Write a Review

NPPES record last updated: October 17, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 30, 2023, Oct 17, 2023 (2 updates tracked since 2023).

  • Organization
  • Nurse's Aide

About TABONO CARE SERVICES

This page provides the complete NPI Profile along with additional information for Tabono Care Services, a provider established in Charlotte, North Carolina operating as a Nurse's Aide. The healthcare provider is registered in the NPI registry with number 1104062967 assigned on December 2008. The practitioner's primary taxonomy code is 376K00000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. Tabono Care Services operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Ms. Tamara D Lewis (Owner)

NPI
1104062967 Verify this NPI
Provider Name
TABONO CARE SERVICES
Entity Type
Organization
Location Address
3701 FREEDOM DR CHARLOTTE, NC 28208
Location Phone
(704) 395-9496
Location Fax
(866) 431-2587
Mailing Address
PO BOX 480428 CHARLOTTE, NC 28269
Mailing Phone
(704) 892-1300
Mailing Fax
(704) 892-1505
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-29-2008
Last Update Date
10-17-2023
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse's Aide

Taxonomy Code
376K00000X
Type
Nursing Service Related Providers
Taxonomy Description
(1) An unlicensed individual who is trained to function in an assistive role to the licensed nurse in the provision of patient/client activities as delegated by the nurse; (2) An individual trained (either on-the-job or through a formal course generally of less than one year) and experienced in performing patient or client-care nursing tasks that do not require the skills of a specialist, technician, or professional. Examples of tasks performed by nurses aides include changing clothes, diapers, and beds; assisting patients to perform exercises or personal hygiene tasks, and supporting communication or social interaction. Specific education and credentials are not required for this work.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1253Z00000XAgencies

In Home Supportive Care

HC4110 (NC)
2372600000XNursing Service Related Providers

Adult Companion

 
33747P1801XNursing Service Related Providers

Technician
Personal Care Attendant

HC4110 (NC)
4385HR2060XRespite Care Facility

Respite Care
Respite Care, Intellectual and/or Developmental Disabilities

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MS. TAMARA D LEWIS

Authorized Official Title
OWNER
Authorized Official Phone
(704) 395-9496

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
HC4110OTHER (01)NCSTATE OF NORTH CAROLINA/DHHS-DHSR HOME CARE LICENSE
1497048417MEDICAID (05)NC 

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104062967, enumerated as an "organization" on December 29, 2008.

The provider is located at 3701 FREEDOM DR CHARLOTTE, NC 28208 and the phone number is (704) 395-9496.

Nurse's Aide with taxonomy code 376K00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.