Healthcare Provider Details

I. General information

NPI: 1275450777
Provider Name (Legal Business Name): LOTUS HEALTH GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/04/2026
Last Update Date: 07/04/2026
Certification Date: 07/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1511 SHOPTON RD STE D-3
CHARLOTTE NC
28217-3239
US

IV. Provider business mailing address

1511 SHOPTON RD STE D-3
CHARLOTTE NC
28217-3239
US

V. Phone/Fax

Practice location:
  • Phone: 980-277-4315
  • Fax: 980-277-4315
Mailing address:
  • Phone: 980-277-4315
  • Fax: 980-277-4315

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251F00000X
TaxonomyHome Infusion Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: CHARLOTTE TOWNEND
Title or Position: ADMINSTRATOR
Credential:
Phone: 980-277-4315