Organization Active NPI

Charm Home Healthcare LLC

  • Home Health Agency
  • Elk Grove, CA
National Provider Identifier
1114724010
Registry record updated Feb 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
CHARM HOME HEALTHCARE LLC
Practice address
7506 Darque Way
Elk Grove, CA 95757-1801
Phone
(602) 570-4281
NPI assigned
Feb 27, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2025

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

Authorized official

Name
Zeyerusalem Woldesilasse, RN, FNP
Title
Owner
Phone
(602) 570-4281

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

7506 Darque Way
Elk Grove, CA 95757-1801

Mailing address

7506 Darque Way
Elk Grove, CA 95757-1801
Phone (602) 570-4281

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1740614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740614400000",
    "number": "1114724010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7506 DARQUE WAY",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957571801",
            "telephone_number": "602-570-4281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7506 DARQUE WAY",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957571801",
            "telephone_number": "602-570-4281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARM HOME HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-27",
        "last_updated": "2025-02-27",
        "certification_date": "2025-02-27",
        "status": "A",
        "authorized_official_last_name": "WOLDESILASSE",
        "authorized_official_first_name": "ZEYERUSALEM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-570-4281",
        "authorized_official_credential": "RN, FNP"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2025; 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.