Charter Health Care Group LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

HHA08076F Issued in CA

Legal business name

CHARTER HEALTH CARE GROUP LLC

Practice address

970 S Village Oaks Dr
Suite 102
Covina, CA 91724-3626

Phone

(626) 915-7490

Fax

(626) 915-6050

NPI assigned

Dec 8, 2010

Organization subpart

No

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

Authorized official

Name

Sylvie Boal

Title

Compliance

Phone

(909) 644-4965

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Erica Suzanne Martinez, NP

  • Nurse Practitioner
  • Los Angeles, CA
  • NPI 1225625221
  NPD
• Mihir Kishor Sanghvi, M.D.

  • Family Medicine Physician
  • Rancho Cucamonga, CA
  • NPI 1275827636
  NPD (past)

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

{
    "created_epoch": "1291766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643846400000",
    "number": "1154624443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "970 S VILLAGE OAKS DR STE 102",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917240609",
            "telephone_number": "626-915-7490",
            "fax_number": "626-951-7490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "970 S VILLAGE OAKS DR",
            "address_2": "SUITE 102",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917243626",
            "telephone_number": "626-915-7490",
            "fax_number": "626-915-6050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARTER HEALTH CARE GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-08",
        "last_updated": "2022-02-03",
        "certification_date": "2022-02-03",
        "status": "A",
        "authorized_official_last_name": "BOAL",
        "authorized_official_first_name": "SYLVIE",
        "authorized_official_title_or_position": "COMPLIANCE",
        "authorized_official_telephone_number": "909-644-4965"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "HHA08076F",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HHA08076F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ricardo Chao
• Alexis Chapa
• Kamini Shyam Chari, M.D.
• Charla Kay Miller
• Riya Charora
• Charter Hospice of the San Gabriel Valley LLC
• Charter Oak Hospital
• Charter Oak Unified School District
• Carla Chatham
• Taposh Chatterjee

• Home Health Agency in Covina, CA
• Providers in Covina, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2022; 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.