Charlotte's Way Adc Inc.

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

005627300 Issued in FL

Legal business name

CHARLOTTE'S WAY ADC INC.

Practice address

2538 Blackstone CT
Jacksonville, FL 32221-4909

Phone

(904) 365-7161

NPI assigned

Oct 31, 2014

Organization subpart

No

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

Authorized official

Name

Ernestine Appleton

Title

Executive Director

Phone

(904) 365-7161

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1414713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414713600000",
    "number": "1598160632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2538 BLACKSTONE CT",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322214909",
            "telephone_number": "904-365-7161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2538 BLACKSTONE CT",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322214909",
            "telephone_number": "904-365-7161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLOTTE'S WAY ADC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-31",
        "last_updated": "2014-10-31",
        "status": "A",
        "authorized_official_last_name": "APPLETON",
        "authorized_official_first_name": "ERNESTINE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "904-365-7161"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "FL",
            "license": "005627300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005627300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Giovanni Charles, MD
• Melinda Charles
• Tyler William Charles, M. ED.
• Carlise Yvette Charlot, COSMETOLOGY
• Charlotte E Blanding (Chalotte E Blanding PHD SOLE MBR)
• Ronald K Charlton, PH.D.
• Victoria Charron, RBT
• Amber Chase, BCCC, CCLC
• Elva Chase, BCCC
• Kristin Claire Chase, RDH

• In Home Supportive Care Agency in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• In Home Supportive Care Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.