HARRY O HOMES, LLC (NPI# 1629632641) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629632641 |
| Entity Type | Organization |
| Organization Name | HARRY O HOMES, LLC |
| Practice Address |
5736 N Tryon St Ste 225a Charlotte NC 28213-0820 |
| Mailing Address |
4504 Rolling Hill Dr Apt C17 Charlotte NC 28213-6783 |
| Practice Telephone | 9808882214 |
| Mailing Telephone | 7047375829 |
| Enumeration Date | 2019-04-24 |
| Last Update Date | 2019-04-24 |
| Authorized Official Name | JOHNISHA ASHAKI MCPHAUL (CEO/DIRECTOR) |
| Authorized Official Telephone | 7047375829 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers | ||
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 175T00000X | Peer Specialist | Other Service Providers | ||
| N | 251B00000X | Case Management | Agencies | ||
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| N | 253Z00000X | In Home Supportive Care | Agencies | ||
| N | 261QA0600X |
Clinic/Center Specialization: Adult Day Care |
Ambulatory Health Care Facilities | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 332BN1400X |
Durable Medical Equipment & Medical Supplies Specialization: Nursing Facility Supplies |
Suppliers | ||
| N | 343800000X | Secured Medical Transport (VAN) | Transportation Services | ||
| N | 343900000X | Non-emergency Medical Transport (VAN) | Transportation Services | ||
| N | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers | ||
| N | 385H00000X | Respite Care | Respite Care Facility | ||
| N | 405300000X | Prevention Professional | Other Service Providers | ||
| Y | 372600000X | Adult Companion | Nursing Service Related Providers |
| Street Address |
5736 N TRYON ST STE 225A |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28213-0820 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578008918 | Johnisha Ashaki Mcphaul | Case Management | 5736 N Tryon St Ste 225a, Charlotte, NC 28213-0820 | 2016-12-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194288241 | Tonya Denise Farmer | Nurse Practitioner | 620 Tom Hunter Road, Charlotte, NC 28213 | 2019-04-06 |
| 1447743331 | April Neville | Counselor | 2442 Ryerson Ct, Charlotte, NC 28213 | 2018-06-14 |
| 1194234328 | Specialized Health Care Services | Case Management | 2750 E. Wt Harris Blvd, Suite 128, Charlotte, NC 28213 | 2017-09-19 |
| 1871016816 | Monarch | Occupational Therapist | 1810 Back Creek Drive, Charlotte, NC 28213 | 2017-07-21 |
| 1609306778 | Mackenzie Cashman Precht | Physician Assistant | 2225 E W T Harris Blvd Unit B, Charlotte, NC 28213 | 2017-06-12 |
| 1861939118 | Nensi Pandya | Pharmacist | 10227 University City Blvd, Charlotte, NC 28213 | 2017-01-25 |
| 1952721458 | Morgan Washington | Specialist/Technologist | 2336 Comfrey Court, Charlotte, NC 28213 | 2014-04-23 |
| 1992132393 | Midway Healthcare | Home Health | 6003 Dovetree Lane Suite D, Charlotte, NC 28213 | 2013-09-30 |
| 1932445178 | Zachary Gachogu Kariuki | Counselor | 10417 Round Leaf Drive, Charlotte, NC 28213 | 2012-12-17 |
| 1962747675 | Crystal Cherie Simmons | Counselor | 13724 Riding Hill Ave, Charlotte, NC 28213 | 2012-12-06 |
| Find all providers in zip 28213 | ||||
| Taxonomy Code | 372600000X |
| Grouping | Nursing Service Related Providers |
| Classification | Adult Companion |
| An individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811464522 | Larry Moore | Adult Companion | 620 N Church St Apt 1603, Charlotte, NC 28202-3299 | 2018-10-31 |
| 1326550377 | Darlene Denise Seabrooks | Adult Companion | 3807 Woodbriar Trl, Charlotte, NC 28205-4967 | 2017-10-31 |
| 1699150847 | Chrishanda Moore | Adult Companion | 6027 Trotters Ridge Rd, Charlotte, NC 28227-4050 | 2015-07-29 |
| 1629455720 | Yes We Care Human Services of Mecklenburg County | Adult Companion | 8201 Willowlake Ct, Charlotte, NC 28227 | 2015-04-28 |
| 1912318478 | Toddrick Whitfield Sr. | Adult Companion | 1909 Butterfly Ln, Charlotte, NC 28269-4092 | 2014-05-17 |
| 1467899013 | Tender Touch | Adult Companion | 9536 Springfield Gardens Dr Apt C, Charlotte, NC 28227-3565 | 2013-05-22 |
| 1710242698 | Jamineka Davis | Adult Companion | 7942 Shiny Meadow Ln, Charlotte, NC 28215-5066 | 2012-07-06 |
| 1316572613 | Bartina Sharee Bowden | Adult Companion | 4708 Twisted Oaks Rd Apt 104, Charlotte, NC 28212-7317 | 2020-03-06 |
| 1841654852 | Latina Ingels | Adult Companion | 11522 Leigh Glen Cir, Charlotte, NC 28269-3172 | 2016-04-06 |
| 1629444641 | Ellena Smith | Adult Companion | 3715 Kadey Dr, Charlotte, NC 28208-2290 | 2015-08-13 |
| Find all providers in CHARLOTTE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.