Organization Active NPI

Jemsek Charm Project

Doing business as CHARM Project

  • Case Management Agency
  • Huntersville, NC
National Provider Identifier
1023152287
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
8700425 Issued in NC
Legal business name
JEMSEK CHARM PROJECT
Doing business as
CHARM Project
Practice address
14330 Oak Hill Park LN
Huntersville, NC 28078-3314
Phone
(704) 659-8500
Fax
(704) 659-8518
NPI assigned
Feb 19, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Brenda Daugherty
Title
Administrator
Phone
(704) 659-8500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 8700425 NC Primary

Addresses

Primary practice location

14330 Oak Hill Park LN
Huntersville, NC 28078-3314

Mailing address

PO Box 3413
Huntersville, NC 28070-3413
Phone (704) 659-8500

Other identifiers 1

IdentifierTypeStateIssuer
8700425MedicaidNC

Other names 1

  • CHARM Project Doing business as

National Provider Directory

National Provider Directory

Locations

14330 Oakhill Park Ln
Huntersville, NC 28078
Phone (704) 316-1280

NPI Registry JSON

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

{
    "created_epoch": "1171843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1023152287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3413",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280703413",
            "telephone_number": "704-659-8500",
            "fax_number": "704-659-8518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14330 OAK HILL PARK LN",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280783314",
            "telephone_number": "704-659-8500",
            "fax_number": "704-659-8518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEMSEK CHARM PROJECT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DAUGHERTY",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "704-659-8500",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NC",
            "license": "8700425",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8700425",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHARM Project",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Huntersville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.