Charity Residential Care LLC

Primary specialty

Physical Disabilities Residential Treatment FacilityTaxonomy code 320700000X

Legal business name

CHARITY RESIDENTIAL CARE LLC

Practice address

159 Oxford St Apt 101
Portland, ME 04101-3193

Phone

(207) 518-1556

NPI assigned

Nov 26, 2019

Last updated

Nov 26, 2019By 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

Jolly Kampemana

Title

Ceo

Phone

(207) 518-1556

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1574726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574726400000",
    "number": "1477199214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8531",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041048531",
            "telephone_number": "207-518-1556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 OXFORD ST APT 101",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041013193",
            "telephone_number": "207-518-1556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARITY RESIDENTIAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-26",
        "last_updated": "2019-11-26",
        "status": "A",
        "authorized_official_last_name": "KAMPEMANA",
        "authorized_official_first_name": "JOLLY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "207-518-1556"
    },
    "taxonomies": [
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Portland",
            "affiliation": "N",
            "endpointDescription": "office",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "159 Oxford St Apt 101",
            "city": "Portland",
            "state": "ME",
            "country_code": "US",
            "postal_code": "041013193",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Magili Chapman, D.O.
• Amelia Carolyn Chappell, CRNA
• Cathra Chappelle, MD
• Renee L. Chard, MSC; CGC
• Mackenzie Charest
• Phumpattra Chariyawong, MD
• John Anthony Charlebois, L.AC.
• Nancy Charlebois, P.T.
• Meredith E. Charney, PHD
• Thomas P Charrette, MD

• Physical Disabilities Residential Treatment Facility in Portland, ME
• Providers in Portland, ME by specialty
• Physical Disabilities Residential Treatment Facility in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2019; 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.