Organization Active NPI

Charis Caregivers of Grace LLC

  • Home Health Aide
  • Philadelphia, PA
National Provider Identifier
1063331460
Registry record updated Jul 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
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

Updated by the provider on Jul 11, 2026

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)CodeLicenseStatePrimary
Home Health AideGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.