QUEEN CITY HOME CARE & MEDICAL STAFFING
NPI 1114088416
In Home Supportive Care in Charlotte, NC
- Organization
- In Home Supportive Care
About QUEEN CITY HOME CARE & MEDICAL STAFFING
This page provides the complete NPI Profile along with additional information for Queen City Home Care & Medical Staffing, a provider established in Charlotte, North Carolina operating as a In Home Supportive Care. The healthcare provider is registered in the NPI registry with number 1114088416 assigned on December 2006. The practitioner's primary taxonomy code is 253Z00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's other name is Queen City Home Care & Medical Staffing. The authorized official of this NPI record is Ms. Loletta Wylie (Administrator)
- NPI
- 1114088416 Verify this NPI
- Provider Legal Name
- STAT ETC, INC.
- Other Organization Name
- QUEEN CITY HOME CARE & MEDICAL STAFFING
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- 4917 ALBEMARLE RD STE 206 CHARLOTTE, NC 28205
- Location Phone
- (980) 217-5231
- Location Fax
- (919) 400-4201
- Mailing Address
- PO BOX 29562 CHARLOTTE, NC 28229
- Mailing Phone
- (980) 217-5231
- Mailing Fax
- (919) 400-4201
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-12-2006
- Last Update Date
- 03-13-2024
- Code Navigator
Location Map
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
In Home Supportive Care
- Taxonomy Code
- 253Z00000X
- Type
- Agencies
- Taxonomy Description
- 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.
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) |
|---|---|---|---|---|
| 1 | 251E00000X | Agencies | Home Health | HC3156 (NC) |
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.
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 |
|---|---|---|---|
| 7100577 | MEDICAID (05) | NC | |
| 3418002 | MEDICAID (05) | NC | |
| 6601380 | MEDICAID (05) | NC | |
| 6800485 | MEDICAID (05) | NC |
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1114088416, enumerated as an "organization" on December 12, 2006.
The provider is located at 4917 ALBEMARLE RD STE 206 CHARLOTTE, NC 28205 and the phone number is (980) 217-5231.
In Home Supportive Care with taxonomy code 253Z00000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
