Charter Home Health of Omaha, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

HHA1043 Issued in NE

Legal business name

CHARTER HOME HEALTH OF OMAHA, LLC

Practice address

4905 S. 107TH Ave.
Suite 200
Omaha, NE 68127-1965

Phone

(402) 926-4088

Fax

(402) 926-4197

NPI assigned

Feb 28, 2007

Organization subpart

No

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

Authorized official

Name

Sylvie Boal

Title

Corporate Counsel

Phone

(909) 665-4965

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630281600000",
    "number": "1477680999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4905 S. 107TH AVE.",
            "address_2": "SUITE 200",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681271965",
            "telephone_number": "402-926-4088",
            "fax_number": "402-926-4197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4905 S. 107TH AVE.",
            "address_2": "SUITE 200",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681271965",
            "telephone_number": "402-926-4088",
            "fax_number": "402-926-4197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARTER HOME HEALTH OF OMAHA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2021-08-30",
        "certification_date": "2021-08-30",
        "status": "A",
        "authorized_official_last_name": "BOAL",
        "authorized_official_first_name": "SYLVIE",
        "authorized_official_title_or_position": "CORPORATE COUNSEL",
        "authorized_official_telephone_number": "909-665-4965"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NE",
            "license": "HHA1043",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025245500",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher A Charles, DPT
• Frankie J. Charles
• Lisa Charles
• Michael Charles III
• Melody A Charleson, OTR-L
• Charter Hospice of Omaha, LLC
• Marnie M. Charter, MSW, LMHP
• Danielle Charters, LPN
• Angela Marie Chartier, LIMHP
• Daniel Patrick Chartrand, DMD, MS

• Home Health Agency in Omaha, NE
• Providers in Omaha, NE by specialty
• Home Health Agency in Nebraska

• 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.