Charlin Hospice LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

016531 Issued in TX

Legal business name

CHARLIN HOSPICE LLC

Practice address

400 Chisholm PL
Suite 400
Plano, TX 75075

Phone

(972) 423-4170

Fax

(469) 368-0999

NPI assigned

Jul 7, 2014

Last updated

Mar 20, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Rosemary O Bryce, RN

Title

Director of Nursing

Phone

(972) 424-3200

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1326454729. Details of each certification follow.

• CCN 741578 Hospice · Active · Details

Hospice certification: CCN 741578

Legal name

CHARLIN HOSPICE LLC

Doing business as

CHARLIN HOSPICE

Certification status

Active

Provider type (POS)

Hospice

Participating since

Nov 4, 2015

Last certification

Oct 29, 2021

Ownership / control type

Proprietary - Other

Organization structure

LLCProprietary

Incorporated

Jun 24, 2014 in TX

Enrollment address

400 Chisholm Place
Suite 400
Plano, TX 75075

Listed as

Charlin HospiceCCN 741578 · All quality measures

Ownership

For-Profit

Certified

Nov 4, 2015

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Ambareen Salam, M.D.

  • Internal Medicine Physician
  • Dallas, TX
  • NPI 1053350488

  Hospice

  Care Compare affiliation
• John Wesley Richard III, MD

  • Internal Medicine Physician
  • Miramar, FL
  • NPI 1659581643

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1404691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489968000000",
    "number": "1326454729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 CHISHOLM PL",
            "address_2": "SUITE 400",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "75075",
            "telephone_number": "972-423-4170",
            "fax_number": "469-368-0999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 CHISHOLM PL",
            "address_2": "SUITE 400",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "75075",
            "telephone_number": "972-423-4170",
            "fax_number": "469-368-0999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLIN HOSPICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-07",
        "last_updated": "2017-03-20",
        "status": "A",
        "authorized_official_last_name": "BRYCE",
        "authorized_official_first_name": "ROSEMARY",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "DIRECTOR OF NURSING",
        "authorized_official_telephone_number": "972-424-3200",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "TX",
            "license": "016531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charis Haven PLLC
• Charisse H. Barta, M.D., P.a.
• Charles F. Natalizio MD
• Charles Shidlofsky O.D., P.a.
• Charlin Healthcare Services, Inc. (Charlin Home Health Agency)
• Chase Derrick MD PLLC (Derrick Plastic Surgery)
• Chase Kha Anesthesia Consultants MD PA
• Chase Oaks Chiropractic LLC
• Chase Oaks Family Dentistry
• Lauren Chastant, LPC-ASSOSCIATE

• Community Based Hospice Care Agency in Plano, TX
• Providers in Plano, TX by specialty
• Community Based Hospice Care Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.