NPIMap

Organization Active NPI

Charmaine Harden

  • Adult Care Home Facility
  • Port Saint Lucie, FL
National Provider Identifier
1013350560
Registry record updated Apr 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
6906117 Issued in FL
Legal business name
CHARMAINE HARDEN
Practice address
6908 NW Kowal CT
Port Saint Lucie, FL 34986-4639
Phone
(561) 574-3171
NPI assigned
Apr 15, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Charmaine Harden
Title
Administrator
Phone
(561) 574-3171

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X 6906117 FL Primary

Addresses

Primary practice location

6908 NW Kowal CT
Port Saint Lucie, FL 34986-4639

Mailing address

6908 NW Kowal CT
Port Saint Lucie, FL 34986-4639
Phone (561) 574-3171

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1365984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365984000000",
    "number": "1013350560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6908 NW KOWAL CT",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349864639",
            "telephone_number": "561-574-3171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6908 NW KOWAL CT",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349864639",
            "telephone_number": "561-574-3171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARMAINE HARDEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-15",
        "last_updated": "2013-04-15",
        "status": "A",
        "authorized_official_last_name": "HARDEN",
        "authorized_official_first_name": "CHARMAINE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "561-574-3171"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "FL",
            "license": "6906117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Saint Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.