Organization Active NPI

Charde Antoinette

  • Home Health Agency
  • Gardena, CA
National Provider Identifier
1083084651
Registry record updated Sep 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
VN228125 Issued in CA
Legal business name
CHARDE ANTOINETTE
Doing business as
MACPETRUS NURSING SOLUTIONS
Practice address
2923 W 138TH
Gardena, CA 90249
Phone
(213) 798-1547
NPI assigned
Sep 25, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2015

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

Authorized official

Name
Charde Petrus, LVN
Title
Administrator
Phone
(213) 798-1547

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X VN228125 CA Primary

Addresses

Primary practice location

2923 W 138TH
Gardena, CA 90249

Mailing address

2200 W Century Blvd
Unit 47758
Los Angeles, CA 90047
Phone (213) 798-1547

Other names 1

  • MACPETRUS NURSING SOLUTIONS Doing business as

National Provider Directory

National Provider Directory

Locations

2200 W Century Blvd
Unit 47758
Los Angeles, CA 90047

NPI Registry JSON

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

{
    "created_epoch": "1443139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443139200000",
    "number": "1083084651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 W CENTURY BLVD",
            "address_2": "UNIT 47758",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90047",
            "telephone_number": "213-798-1547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2923 W 138TH",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "90249",
            "telephone_number": "213-798-1547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARDE ANTOINETTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-25",
        "last_updated": "2015-09-25",
        "status": "A",
        "authorized_official_last_name": "PETRUS",
        "authorized_official_first_name": "CHARDE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "213-798-1547",
        "authorized_official_credential": "LVN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "VN228125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MACPETRUS NURSING SOLUTIONS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gardena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2015; 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.