Charlotte's Care

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

License

AS820014266 Issued in MI

Legal business name

CHARLOTTE'S CARE

Doing business as

Charlotte's Care ll

Practice address

465 Plum St
1605 Fort Park
Wyandotte, MI 48192-6553

Phone

(734) 285-1143

Fax

(734) 285-2789

NPI assigned

Feb 21, 2014

Last updated

Feb 21, 2014By the provider in NPPES

Organization subpart

Yes

Parent organization

CHARLOTTE'S CAREAs reported in NPPES

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

Authorized official

Name

Mrs. Towanda Ann Dancy

Title

Head Supervisor

Phone

(313) 719-9990

Specialties & licenses 2

Addresses

Other names 1

• Charlotte's Care ll Doing business as

Part of

Charlotte's Care

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

{
    "created_epoch": "1392940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392940800000",
    "number": "1306261789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "465 PLUM ST",
            "address_2": "1605 FORT PARK",
            "city": "WYANDOTTE",
            "state": "MI",
            "postal_code": "481926553",
            "telephone_number": "734-285-1143",
            "fax_number": "734-285-2789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 PLUM ST",
            "address_2": "1605 FORT PARK",
            "city": "WYANDOTTE",
            "state": "MI",
            "postal_code": "481926553",
            "telephone_number": "734-285-1143",
            "fax_number": "734-285-2789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLOTTE'S CARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHARLOTTE'S CARE",
        "enumeration_date": "2014-02-21",
        "last_updated": "2014-02-21",
        "status": "A",
        "authorized_official_last_name": "DANCY",
        "authorized_official_first_name": "TOWANDA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "HEAD SUPERVISOR",
        "authorized_official_telephone_number": "313-719-9990",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "MI",
            "license": "AS820014266",
            "primary": true
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "MI",
            "license": "AS820256000",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Charlotte's Care ll",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christian Chababi, MD
• Rebecca Gloria Chacko, M.D.
• Lance R. Chaldecott, M.D.
• Kirsten Avery Chambers, OTD, OTR/L
• Abdul-Nasser Khaled Charara, PHARMD
• Trisha Marie Chauvin, NP
• Ruey Chen, MD
• Xing Dong Chen, MD, MSE
• Caren Ann Chezick, OTR
• Mary Elizabeth Chlebek

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Wyandotte, MI
• Providers in Wyandotte, MI by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2014; 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.