Active NPI
Charnel Nicole Jenkins
- Adult Care Home Facility
- Fort Worth, TX
National Provider Identifier
1487352332
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Care Home Facility
- Practice address
- 7108 Meadowbrook Dr
Fort Worth, TX 76112-5326 - Phone
- (214) 930-6077
- Fax
- (817) 587-1950
- NPI assigned
- Feb 20, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 11
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Companion | 372600000X | |||
| Contractor | 171W00000X | |||
| Developmentally Disabled Services Day Training Agency | 251C00000X | |||
| Physical Disabilities Residential Treatment Facility | 320700000X | |||
| Adult Care Home Facility | 311ZA0620X | Primary | ||
| Child Intellectual and/or Developmental Disabilities Respite Care | 385HR2060X | |||
| Community/Behavioral Health Agency | 251S00000X | |||
| Community Based Hospice Care Agency | 251G00000X | |||
| Assisted Living Facility | 310400000X | |||
| Respite Care | 385H00000X | |||
| Home Health Aide | 374U00000X |
Addresses
Primary practice location
7108 Meadowbrook Dr
Fort Worth, TX 76112-5326
Mailing address
PO Box 25571
Fort Worth, TX 76124-2571
Phone (214) 930-6077
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1676851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772064000000",
"number": "1487352332",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 25571",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761242571",
"telephone_number": "214-930-6077",
"fax_number": "817-587-1950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7108 MEADOWBROOK DR",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761125326",
"telephone_number": "214-930-6077",
"fax_number": "817-587-1950"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENKINS",
"first_name": "CHARNEL",
"middle_name": "NICOLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-02-20",
"last_updated": "2026-02-26",
"certification_date": "2026-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "372600000X",
"taxonomy_group": "",
"desc": "Adult Companion",
"state": null,
"license": null,
"primary": false
},
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": null,
"license": null,
"primary": false
},
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": null,
"license": null,
"primary": false
},
{
"code": "320700000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Physical Disabilities",
"state": null,
"license": null,
"primary": false
},
{
"code": "311ZA0620X",
"taxonomy_group": "",
"desc": "Custodial Care Facility, Adult Care Home",
"state": null,
"license": null,
"primary": true
},
{
"code": "385HR2060X",
"taxonomy_group": "",
"desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": false
},
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": false
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.