Active NPI
Charis Caregivers of Grace LLC
- Home Health Aide
- Philadelphia, PA
National Provider Identifier
1063331460
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- Legal business name
- CHARIS CAREGIVERS OF GRACE LLC
- Doing business as
- CCOG
- Practice address
- 3526 N 5TH St
Philadelphia, PA 19140-4549 - Phone
- (267) 223-9052
- NPI assigned
- Jul 11, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Jonathan Womack, MM
- Title
- Managing Member
- Phone
- (267) 223-9052
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | Primary |
Addresses
Primary practice location
3526 N 5TH St
Philadelphia, PA 19140-4549
Mailing address
7600 Ora Glen Dr # 1081
Greenbelt, MD 20770-9998
Phone (267) 223-9052
Other names 1
- CCOG
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1783728000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1783728000000",
"number": "1063331460",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7600 ORA GLEN DR # 1081",
"city": "GREENBELT",
"state": "MD",
"postal_code": "207709998",
"telephone_number": "267-223-9052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3526 N 5TH ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191404549",
"telephone_number": "267-223-9052"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHARIS CAREGIVERS OF GRACE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-07-11",
"last_updated": "2026-07-11",
"certification_date": "2026-07-11",
"status": "A",
"authorized_official_last_name": "WOMACK",
"authorized_official_first_name": "JONATHAN",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "267-223-9052",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MM"
},
"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": "CCOG",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.