CLEAN HANDS PURE HEART (NPI# 1770104762) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770104762 |
| Entity Type | Organization |
| Organization Name | CLEAN HANDS PURE HEART |
| Practice Address |
4724 Grasset Ave Charlotte NC 28269-4025 |
| Practice Telephone | 9808758693 |
| Mailing Telephone | 9808758693 |
| Enumeration Date | 2020-04-30 |
| Last Update Date | 2020-09-12 |
| Authorized Official Name | KERA TAHMARA DIGGS BROWN (OWNER) |
| Authorized Official Telephone | 9808658693 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253Z00000X | In Home Supportive Care | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | DRIVERS LICENSE | 3892146 | 01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | CLEAN HANDS PURE HEARTS INCORPORATED | 178-39 147th Ave, Jamaica, Ny 11434 |
| Street Address |
4724 GRASSET AVE |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28269-4025 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609420629 | Kera Tahmara Diggs Brown | Registered Nurse | 4724 Grasset Ave, Charlotte, NC 28269-4025 | 2019-07-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124664438 | Alluring Occupational Therapy Services, Pllc | Occupational Therapy Assistant | 3020-i Prosperity Church Rd, Ste 523, Charlotte, NC 28269 | 2019-11-21 |
| 1366085094 | Crystal R Currie | Counselor | 8824 Cliff Cameron Drive, Uint 107, Charlotte, NC 28269 | 2019-10-25 |
| 1477102879 | Apryl N. Davis | Occupational Therapy Assistant | 3020-i Prosperity Church Rd., Charlotte, NC 28269 | 2019-09-09 |
| 1730744202 | Christopher Paige | Driver | 9805 Statesville Rd., Suite 6198, Charlotte, NC 28269 | 2019-05-09 |
| 1619532892 | Krb Support Services | Prevention Professional | 11634 Oak Street, Charlotte, NC 28269 | 2019-05-03 |
| 1184186769 | Kimberly M Lynch | Local Education Agency (LEA) | 11634 Oat Street, Charlotte, NC 28269 | 2019-04-03 |
| 1356802318 | Arleen M Blythe | Physical Therapy Assistant | 1521 Bucklebury Ct, Charlotte, NC 28269 | 2019-03-30 |
| 1174089064 | Quality Behavioral Health Services, Pllc | Social Worker | 9805 Statesville Rd, # 6095, Charlotte, NC 28269 | 2019-02-15 |
| 1326517855 | Mary Frances Pickens-wilson | Behavior Technician | 4628 Quinton Lane, Charlotte, NC 28269 | 2018-11-14 |
| 1548746605 | Tiffany Michelle Graham | Counselor | 9823 Cooper Run Ln, Charlotte, NC 28269 | 2018-07-12 |
| Find all providers in zip 28269 | ||||
| Taxonomy Code | 253Z00000X |
| Grouping | Agencies |
| Classification | In Home Supportive Care |
| 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. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043811573 | Innovative Home Assistance LLC | In Home Supportive Care | 8501 Tower Point Dr Ste B40, Charlotte, NC 28227-7849 | 2020-11-02 |
| 1417555848 | Fumani Investment LLC | In Home Supportive Care | 4822 Albemarle Rd Ste 280-b, Charlotte, NC 28205-6668 | 2020-10-16 |
| 1447858493 | Concept of Care Inc | In Home Supportive Care | 5115 Osage Cir, Charlotte, NC 28269-4693 | 2020-10-13 |
| 1992311427 | Astounding Healthcare | In Home Supportive Care | 10931-d7 E. Independent Boulevard, Charlotte, NC 28204-2820 | 2020-09-21 |
| 1881208668 | Selfless Servants Home Care LLC | In Home Supportive Care | 520 E Hebron St Ste A-4, Charlotte, NC 28273-5989 | 2020-08-31 |
| 1619580552 | Devera Moore Camp | In Home Supportive Care | 2329 The Plz, Charlotte, NC 28205-2403 | 2020-08-29 |
| 1073125217 | Reference Home Care, LLC | In Home Supportive Care | 3406 June Dr, Charlotte, NC 28205-7114 | 2020-08-19 |
| 1316558067 | New Horizon Home Care LLP | In Home Supportive Care | 5736 N Tryon St Ste 227d, Charlotte, NC 28213-0820 | 2020-08-14 |
| 1285245514 | Family First Healthcare LLC | In Home Supportive Care | 4921 Albemarle Rd Ste 114, Charlotte, NC 28205-6654 | 2020-08-11 |
| 1780294389 | Funke Yenrin Amanah | In Home Supportive Care | 3555 N Sharon Amity Rd Ste 201, Charlotte, NC 28205-8993 | 2020-08-07 |
| 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.