Charismatic Care Services

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

Legal business name

CHARISMATIC CARE SERVICES

Practice address

916 Bethlehem Rd
Knightdale, NC 27545-9318

Phone

(919) 266-3392

NPI assigned

Jun 16, 2011

Last updated

Jun 16, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nedra Davis

Title

Partner

Phone

(919) 266-3392

Specialties & licenses 1

Addresses

Other names 1

• Bethlehem Adult Care Other name

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

{
    "created_epoch": "1308182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308182400000",
    "number": "1568757672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "916 BETHLEHEM RD",
            "city": "KNIGHTDALE",
            "state": "NC",
            "postal_code": "275459318",
            "telephone_number": "919-266-3392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "916 BETHLEHEM RD",
            "city": "KNIGHTDALE",
            "state": "NC",
            "postal_code": "275459318",
            "telephone_number": "919-266-3392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARISMATIC CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-16",
        "last_updated": "2011-06-16",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "NEDRA",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "919-266-3392"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bethlehem Adult Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Health Maintenance Organization in Knightdale, NC
• Providers in Knightdale, NC by specialty
• Health Maintenance Organization in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2011; 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.