MARY HOME CARE LLC
NPI 1104479161
Home Health in Gastonia, NC

Active since July 18, 2019
3509 CANYON LIVE OAK CT, GASTONIA, NC 28056(704) 747-6257 Get Directions Write a Review

NPPES record last updated: July 18, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mary Home Care Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY HOME CARE LLC (NPI 1104479161) is a healthcare organization registered as a home health in Gastonia, North Carolina and active in the NPI registry since July 2019. The organization lists Tanika Vonchel Green, Owner, as its authorized official.

NPPES Registry Identity

NPI1104479161
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameMARY HOME CARE LLC
Location Address3509 CANYON LIVE OAK CTGastonia, NC 28056-0034
Mailing Address3509 Canyon Live Oak CtGastonia, NC 28056-0034 · (704) 747-6257
Organization SubpartNo
Authorized OfficialTanika Vonchel GreenOwner · (704) 747-6257
Enumeration DateJuly 18, 2019
NPI 1104479161 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
Definition
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.
Also ListedIn Home Supportive CareTaxonomy 253Z00000X
Also ListedCustodial Care Facility · Adult Care HomeTaxonomy 311ZA0620X
Also ListedNon-emergency Medical Transport (VAN)Taxonomy 343900000X
Also ListedRespite CareTaxonomy 385H00000X
3509 CANYON LIVE OAK CT, Gastonia, NC 28056

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Home Care LLC's NPI number?

The NPI number for Mary Home Care LLC is 1104479161. It was assigned to this organization in the NPPES registry on July 18, 2019.

Where is Mary Home Care LLC located?

Mary Home Care LLC is located at 3509 Canyon Live Oak Ct, Gastonia, NC 28056. The listed phone number is (704) 747-6257.

What is Mary Home Care LLC's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

When was this NPI record last updated?

The NPPES record for Mary Home Care LLC was last updated on July 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.