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GENESIS OF CAROLINAS HOME CARE, LLC
NPI 1700019486
Home Health in Charlotte, NC

Active since August 28, 2009
5736 NORTH TRYON STREET SUITE 128, CHARLOTTE, NC 28213(980) 207-3947(980) 207-3956 Get Directions Write a Review

NPPES record last updated: August 1, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Genesis Of Carolinas Home Care, Llc NPPES

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

GENESIS OF CAROLINAS HOME CARE, LLC (NPI 1700019486) is a healthcare organization registered as a home health in Charlotte, North Carolina and active in the NPI registry since August 2009. The organization lists Octavia Devonne Shankle, Owner/director, as its authorized official.

NPPES Registry Identity

NPI1700019486
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameGENESIS OF CAROLINAS HOME CARE, LLC
Location Address5736 NORTH TRYON STREET SUITE 128Charlotte, NC 28213-6891
Mailing Address5736 North Tryon Street Suite 128Charlotte, NC 28213-6891 · (980) 207-3947 · Fax (980) 207-3956
Phone(980) 207-3947
Fax(980) 207-3956
Organization SubpartNo
Authorized OfficialOctavia Devonne ShankleOwner/director · (980) 207-3947
Enumeration DateAugust 28, 2009
Last NPPES UpdateAugust 1, 2019
✔ NPI 1700019486 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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 · License 100027 (NC)
5736 NORTH TRYON STREET SUITE 128, Charlotte, NC 28213
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GENESIS OF CAROLINAS HOME CARE, LLC
Home Health
5736 NORTH TRYON STREET SUITE 128
CHARLOTTE, NC 28213
Mecklenburg County (980) 207-3947

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 Genesis Of Carolinas Home Care, LLC's NPI number?

The NPI number for Genesis Of Carolinas Home Care, LLC is 1700019486. It was assigned to this organization in the NPPES registry on August 28, 2009.

Where is Genesis Of Carolinas Home Care, LLC located?

Genesis Of Carolinas Home Care, LLC is located at 5736 North Tryon Street Suite 128, Charlotte, NC 28213. The listed phone number is (980) 207-3947.

What is Genesis Of Carolinas 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 Genesis Of Carolinas Home Care, LLC was last updated on August 1, 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.