Organization Active NPI

Charismark Inc

Doing business as Charismark Home Health Care Services

  • Home Health Agency
  • Waltham, MA
National Provider Identifier
1588063812
Registry record updated Aug 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
8420 Issued in MA
Legal business name
CHARISMARK INC
Doing business as
Charismark Home Health Care Services
Practice address
24 Crescent St Ste 102
Waltham, MA 02453-4360
Phone
(781) 518-3249
Fax
(781) 547-5457
NPI assigned
Aug 22, 2014
Last updated
Aug 22, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
CHARISMARK INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 22, 2014

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

Authorized official

Name
Marion Mutyaba-PringleNPI 1851251326
Title
President
Phone
(781) 518-3249

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 8420 MA Primary

Addresses

Primary practice location

24 Crescent St Ste 102
Waltham, MA 02453-4360

Mailing address

24 Crescent St Ste 102
Waltham, MA 02453-4360
Phone (781) 518-3249

Other names 1

  • CHARISMARK HOME HEALTH CARE SERVICES Doing business as

National Provider Directory

National Provider Directory
Part of
Charismark Inc

Locations

24 Crescent St
Ste 102
Waltham, MA 02453
Phone (781) 518-3249

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1408665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408665600000",
    "number": "1588063812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 CRESCENT ST STE 102",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024534360",
            "telephone_number": "781-518-3249",
            "fax_number": "781-547-5457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 CRESCENT ST STE 102",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024534360",
            "telephone_number": "781-518-3249",
            "fax_number": "781-547-5457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARISMARK INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHARISMARK INC",
        "enumeration_date": "2014-08-22",
        "last_updated": "2014-08-22",
        "status": "A",
        "authorized_official_last_name": "MUTYABA-PRINGLE",
        "authorized_official_first_name": "MARION",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "781-518-3249"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MA",
            "license": "8420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHARISMARK HOME HEALTH CARE SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waltham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2014; 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.