Organization Active NPI

Chaleah& Charlotte Home Health Services

  • Home Health Aide
  • Jacksonville, FL
National Provider Identifier
1043990880
Registry record updated Dec 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
Legal business name
CHALEAH& CHARLOTTE HOME HEALTH SERVICES
Practice address
2946 W 11TH St
Jacksonville, FL 32254-1925
Phone
(904) 578-3362
NPI assigned
Jul 18, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2023

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

Authorized official

Name
Ms. Chaleah Martia MyrickNPI 1962182790
Title
Ceo
Phone
(904) 578-3362

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health AideGroup: 193400000X SINGLE SPECIALTY GROUP 374U00000X Primary

Addresses

Primary practice location

2946 W 11TH St
Jacksonville, FL 32254-1925

Mailing address

2946 W 11TH St
Jacksonville, FL 32254-1925
Phone (904) 578-3362

Other names 1

  • Dear Me A.W.A.K.E Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1689638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703808000000",
    "number": "1043990880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2946 W 11TH ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322541925",
            "telephone_number": "904-578-3362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2946 W 11TH ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322541925",
            "telephone_number": "904-578-3362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHALEAH& CHARLOTTE HOME HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-18",
        "last_updated": "2023-12-29",
        "certification_date": "2023-12-29",
        "status": "A",
        "authorized_official_last_name": "MYRICK",
        "authorized_official_first_name": "CHALEAH",
        "authorized_official_middle_name": "MARTIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "904-578-3362",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dear Me A.W.A.K.E",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2023; 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.