Charlotte Web Private Home Care, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

CHARLOTTE WEB PRIVATE HOME CARE, LLC

Practice address

2140 Rockbridge Rd Ste 107
Stone Mountain, GA 30087-3507

Phone

(678) 598-0883

Fax

(770) 783-6549

NPI assigned

Mar 8, 2023

Last updated

Mar 8, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dionne Patricia NewellNPI 1972125532

Title

Administrator

Phone

(678) 598-0883

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Dionne Newell

  • Home Health Agency
  • Lithonia, GA
  • NPI 1972125532
  NPD Authorized official
• Yolanda L Wilson, RN, FNP-BC

  • Family Nurse Practitioner
  • Minnetonka, MN
  • NPI 1891059309
  NPD (past)

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

{
    "created_epoch": "1678233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678233600000",
    "number": "1063112951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2140 ROCKBRIDGE RD STE 107",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300873507",
            "telephone_number": "678-598-0883",
            "fax_number": "770-783-6549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2140 ROCKBRIDGE RD STE 107",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300873507",
            "telephone_number": "678-598-0883",
            "fax_number": "770-783-6549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLOTTE WEB PRIVATE HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-08",
        "last_updated": "2023-03-08",
        "certification_date": "2023-03-08",
        "status": "A",
        "authorized_official_last_name": "NEWELL",
        "authorized_official_first_name": "DIONNE",
        "authorized_official_middle_name": "PATRICIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "678-598-0883"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juana Brenda Chairez
• Madhusudan Chandora, M.D.
• Change Agents Counseling & Consulting, LLC
• Joshua Su-Keong Chao, PHARMD
• Cheryl Anne Charles, P.T.
• Charnae Loving Care LLC
• Dawn Xin Chen, PA-C
• Lei Chen, MD, PHD
• Cheryl's Creations, Inc.
• Andrew Chetcuti, PT, DPT

• Home Health Agency in Stone Mountain, GA
• Providers in Stone Mountain, GA by specialty
• Home Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 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.