Organization Active NPI

Charlies Abundant Home Health

  • Home Health Agency
  • Irving, TX
National Provider Identifier
1518646124
Registry record updated Jul 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
CHARLIES ABUNDANT HOME HEALTH
Doing business as
Charlies Abundant Home Health
Practice address
490 East Royal Lane
Irving, TX 75050
Phone
(682) 294-5009
NPI assigned
Jul 12, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2023

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

Authorized official

Name
Charleszetta Gulledge
Title
Owner
Phone
(682) 294-5009

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

490 East Royal Lane
Irving, TX 75050

Mailing address

490 East Royal Lane
Irving, TX 75039
Phone (682) 294-5009

Other names 1

  • Charlies Abundant Home Health Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1689120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689120000000",
    "number": "1518646124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "490 EAST ROYAL LANE",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "75039",
            "telephone_number": "682-294-5009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "490 EAST ROYAL LANE",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "75050",
            "telephone_number": "682-294-5009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLIES ABUNDANT HOME HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-12",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-07",
        "status": "A",
        "authorized_official_last_name": "GULLEDGE",
        "authorized_official_first_name": "CHARLESZETTA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "682-294-5009"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Charlies Abundant Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Irving, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2023; 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.