Healthcare Provider Details

I. General information

NPI: 1235998196
Provider Name (Legal Business Name): HEMERA HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/14/2024
Last Update Date: 04/16/2026
Certification Date: 04/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1213 W MOREHEAD ST FL 5
CHARLOTTE NC
28208-5576
US

IV. Provider business mailing address

1213 W MOREHEAD ST FL 5
CHARLOTTE NC
28208-5576
US

V. Phone/Fax

Practice location:
  • Phone: 704-831-7884
  • Fax: 704-831-7885
Mailing address:
  • Phone: 704-831-7884
  • Fax: 704-831-7885

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: JASON L CALLENDER
Title or Position: GENERAL MANAGER
Credential:
Phone: 980-800-3555