Organization Active NPI

Charismatic Home Care

  • Home Health Agency
  • Philadelphia, PA
National Provider Identifier
1477221182
Registry record updated Aug 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
CHARISMATIC HOME CARE
Practice address
2219 Dickinson St
Philadelphia, PA 19146-4204
Phone
(302) 480-4006
NPI assigned
Aug 30, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2021

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

Authorized official

Name
Daaiyah Turner
Title
Chief Executive Officer
Phone
(484) 368-4840

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

2219 Dickinson St
Philadelphia, PA 19146-4204

Mailing address

2219 Dickinson St
Philadelphia, PA 19146-4204
Phone (484) 368-4840

Other identifiers 1

IdentifierTypeStateIssuer
57713601MedicaidPA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1630281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630281600000",
    "number": "1477221182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2219 DICKINSON ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191464204",
            "telephone_number": "484-368-4840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2219 DICKINSON ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191464204",
            "telephone_number": "302-480-4006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARISMATIC HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-30",
        "last_updated": "2021-08-30",
        "certification_date": "2021-08-30",
        "status": "A",
        "authorized_official_last_name": "TURNER",
        "authorized_official_first_name": "DAAIYAH",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "484-368-4840"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "57713601",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2021; 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.