Charlie'S Angels Home Health Care Agency

Primary specialty

Home Health AideTaxonomy code 374U00000X

Legal business name

CHARLIE'S ANGELS HOME HEALTH CARE AGENCY

Practice address

301 S McDowell St
Charlotte, NC 28204-2623

Phone

(704) 918-7966

NPI assigned

Oct 13, 2021

Organization subpart

No

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

Authorized official

Name

Carlita RandallNPI 1902963960

Title

Executive Director

Phone

(412) 977-1273

Specialties & licenses 5

Addresses

Other names 1

• Cj & Sj Services Corp. Former legal business name

Electronic endpoints 2

Practitioners 1

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

• Carlita J Randall, LCMHC

  • Mental Health Counselor
  • Charlotte, NC
  • NPI 1902963960
  NPD Authorized official

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

{
    "created_epoch": "1634083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664928000000",
    "number": "1225790629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1214 BOTTLE BRUSH LN",
            "city": "HARRISBURG",
            "state": "NC",
            "postal_code": "280756715",
            "telephone_number": "412-977-1273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 S MCDOWELL ST",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282042623",
            "telephone_number": "704-918-7966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLIE'S ANGELS HOME HEALTH CARE AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-13",
        "last_updated": "2022-10-05",
        "certification_date": "2022-09-06",
        "status": "A",
        "authorized_official_last_name": "RANDALL",
        "authorized_official_first_name": "CARLITA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "412-977-1273"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cands@charliesangelhomehealthcareagency.org",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1214 Bottle Brush Ln",
            "city": "Harrisburg",
            "state": "NC",
            "country_code": "US",
            "postal_code": "280756715",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "charliesangelshomecare@usa.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "301 S McDowell St",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282042623",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Cj & Sj Services Corp.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Jacquelyn Charles
• Kelly Louise Charles, MSW, LCSW, CSOTS
• Kendra Charles, RN
• Sandy Charles, M.D.
• Richard John Charlesworth, DDS
• Charlotte Acupuncture and Wellness Center, Inc.
• Charlotte Assisted Living
• Charlotte Assisted Living Little Flower - Delaware, LLC
• Charlotte Audiology Services
• Charlotte Cardiology Associates, P.a

• Home Health Aide in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Home Health Aide in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.