Healthcare Provider Details

I. General information

NPI: 1871136952
Provider Name (Legal Business Name): NEW BEGINNING HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/22/2019
Last Update Date: 09/06/2025
Certification Date: 09/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

624 N DAVIDSON ST STE D
CHARLOTTE NC
28202-3104
US

IV. Provider business mailing address

624 N DAVIDSON ST STE D
CHARLOTTE NC
28202-3104
US

V. Phone/Fax

Practice location:
  • Phone: 704-621-9545
  • Fax:
Mailing address:
  • Phone: 704-335-6107
  • Fax: 704-335-6106

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number
License Number State
# 2
Primary TaxonomyY
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
# 4
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: KATHY FOXX
Title or Position: OWNER
Credential:
Phone: 704-621-9545