FORTUNE HEART OF NC HOME CARE – NPI #1134889140
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.

FORTUNE HEART OF NC HOME CARE is an in-home supportive care agency located in CHARLOTTE, NC. NPPES has assigned the NPI number 1134889140 to FORTUNE HEART OF NC HOME CARE on December 19, 2021. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “FORTUNE HEART OF NC HOME CARE” is a dba name, the actual legal business name for this organization is FORTUNE HEART OF NORTH CAROLINA HOME CARE LLC. The primary taxonomy selected by this provider is 253Z00000X from the Health Care Provider Taxonomy code set, which is classified as In Home Supportive Care.

The NPI profile was previously updated about 2 years ago on Feb 24, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for FORTUNE HEART OF NC HOME CARE below.

NPI Profile for
FORTUNE HEART OF NORTH CAROLINA HOME CARE LLC

NPI Number
1134889140
Enumeration Date

(more than 4 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
FORTUNE HEART OF NORTH CAROLINA HOME CARE LLC
Doing Business As (dba): FORTUNE HEART OF NC HOME CARE
Primary location
3117 WHITING AVE
CHARLOTTE, NC 28205-1648
Phone: (980) 306-4777 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
BREONA BLACKWELL
ADMINISTRATOR
Phone: (864) 584-0744
Updated
Certification Date
Feb 24, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
253Z00000X
- In Home Supportive Care (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
Content Type
CSV
Affiliation
N
Endpoint Location
3117 WHITING AVE,
CHARLOTTE, NC 77025-1669