Charter Healthcare of Riverside, LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

CHARTER HEALTHCARE OF RIVERSIDE, LLC

Practice address

6560 Van Buren Blvd
Suite G
Riverside, CA 92503-1542

Phone

(951) 509-9474

Fax

(951) 509-9471

NPI assigned

Nov 11, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Fred Frank

Title

Owner

Phone

(909) 644-4965

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1384128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627257600000",
    "number": "1659700664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6560 VAN BUREN BLVD",
            "address_2": "SUITE G",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925031542",
            "telephone_number": "951-509-9474",
            "fax_number": "951-509-9471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6560 VAN BUREN BLVD",
            "address_2": "SUITE G",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925031542",
            "telephone_number": "951-509-9474",
            "fax_number": "951-509-9471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARTER HEALTHCARE OF RIVERSIDE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-11",
        "last_updated": "2021-07-26",
        "certification_date": "2021-07-26",
        "status": "A",
        "authorized_official_last_name": "FRANK",
        "authorized_official_first_name": "FRED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-644-4965",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joan Marie Charles
• Linnea Charles, HIGH SCHOOL DIPLOMA
• Vanessa Janette Charles
• Joseph Charogoff
• Victoria T. Charoonratana
• Linda Jean Charter, LCSW
• Taylor Charter, DO
• Chasa Health and Wellness a Professional Nursing Corporation
• Leslie Jeccett Chasco-Ortega
• Derrick Anthony Chatman, LVN

• Community Based Hospice Care Agency in Riverside, CA
• Providers in Riverside, CA by specialty
• Community Based Hospice Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2021; 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.