Charles Mandemaker
Individual provider Active NPI Case Manager/Care Coordinator · Chauncey, OH
NPI 1225827645 · NPPES record last updated Jun 17, 2026
Key facts
- NPI
- 1225827645
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 19 High St
Chauncey, OH 45719 - Phone
- (631) 933-5666
- NPI assigned
- May 2, 2025
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes | ||
| Homemaker | 376J00000X |
Addresses
Primary practice location
19 High St
Chauncey, OH 45719
Mailing address
19 High St
Chauncey, OH 45719
Other practice location 1
39495 Saint Clair Rd
Pomeroy, OH 45769-9434
Phone (220) 248-5650 ext. 85650
Other providers in Chauncey, OH
- Renee Buckley
- Danielle Marie Gurtis-Polk
- Lora Jenkins
- Shawn David King
- Carolee Richards
- Heidi Lynn Mowrey Shaw
- Sheila Ann Shover
- Courtenay R. Tenoglia
- Rebecca Thomas
All providers in Chauncey, OH · Case Manager/Care Coordinator in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 17, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.