Active NPI
Charis Health Services LLC
- Home Health Agency
- Mobile, AL
National Provider Identifier
1619412269
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 105780
- Legal business name
- CHARIS HEALTH SERVICES LLC
- Practice address
- 3920 Berwyn Dr S
Apt 137
Mobile, AL 36608-2133 - Phone
- (251) 767-6332
- NPI assigned
- Jan 5, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Amelia Rebecca Woods
- Title
- Owner
- Phone
- (251) 767-3328
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 105780 | AL | Primary |
Addresses
Primary practice location
3920 Berwyn Dr S
Apt 137
Mobile, AL 36608-2133
Mailing address
3920 Berwyn Dr S
Apt 137
Mobile, AL 36608-2133
Phone (251) 767-6332
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1483574400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1483574400000",
"number": "1619412269",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3920 BERWYN DR S",
"address_2": "APT 137",
"city": "MOBILE",
"state": "AL",
"postal_code": "366082133",
"telephone_number": "251-767-6332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3920 BERWYN DR S",
"address_2": "APT 137",
"city": "MOBILE",
"state": "AL",
"postal_code": "366082133",
"telephone_number": "251-767-6332"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHARIS HEALTH SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-01-05",
"last_updated": "2017-01-05",
"status": "A",
"authorized_official_last_name": "WOODS",
"authorized_official_first_name": "AMELIA",
"authorized_official_middle_name": "REBECCA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "251-767-3328"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "AL",
"license": "105780",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mobile, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.