Charismatic Hearts Home Care Agency, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

CHARISMATIC HEARTS HOME CARE AGENCY, LLC

Practice address

930 Vintage Jones Way
Office Suite 3
Raleigh, NC 27606

Phone

(919) 390-7799

NPI assigned

Dec 19, 2022

Organization subpart

No

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

Authorized official

Name

Quawnshanay Shirleve Smith

Title

Owner

Phone

(919) 390-7799

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1671408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671408000000",
    "number": "1497467682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 VINTAGE JONES WAY",
            "address_2": "OFFICE SUITE 3",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "27606",
            "telephone_number": "919-390-7799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 VINTAGE JONES WAY",
            "address_2": "OFFICE SUITE 3",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "27606",
            "telephone_number": "919-390-7799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARISMATIC HEARTS HOME CARE AGENCY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-19",
        "last_updated": "2022-12-19",
        "certification_date": "2022-12-19",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "QUAWNSHANAY",
        "authorized_official_middle_name": "SHIRLEVE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-390-7799"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@charismatichearts.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "930 Vintage Jones Way",
            "address_2": "Office Suite 3",
            "city": "Raleigh",
            "state": "NC",
            "country_code": "US",
            "postal_code": "27606",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ilsy Chappell, MS, RD, LDN
• Jonathan D Chappell, M.D.
• Ana Chardon, LPN
• Christian J. Charette, LMFT
• Charis Foundation Inc
• Charles C Wiggins OD PLLC
• Charles Devine LLC
• Kirk L Charles, MD
• Adrienne Charleston, LPA
• Charlotte a Sweeney MD PLLC

• In Home Supportive Care Agency in Raleigh, NC
• Providers in Raleigh, NC by specialty
• In Home Supportive Care Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2022; 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.