Charlottes Homecare Angels

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Legal business name

CHARLOTTES HOMECARE ANGELS

Practice address

292 Ashlee Ave
Mountain House, CA 95391-1138

Phone

(209) 879-9570

NPI assigned

Jan 16, 2025

Last updated

Jan 16, 2025By 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

Charlotte Mary MallardNPI 1275380636

Title

Owner

Phone

(209) 879-9570

Specialties & licenses 1

Addresses

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.

• Charlotte Mary Mallard

  • Personal Care Attendant
  • Mountain House, CA
  • NPI 1275380636
  NPD Authorized official

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

{
    "created_epoch": "1736985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736985600000",
    "number": "1750192829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "292 ASHLEE AVE",
            "city": "MOUNTAIN HOUSE",
            "state": "CA",
            "postal_code": "953911138",
            "telephone_number": "209-879-9570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "292 ASHLEE AVE",
            "city": "MOUNTAIN HOUSE",
            "state": "CA",
            "postal_code": "953911138",
            "telephone_number": "209-879-9570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLOTTES HOMECARE ANGELS",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-16",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A",
        "authorized_official_last_name": "MALLARD",
        "authorized_official_first_name": "CHARLOTTE",
        "authorized_official_middle_name": "MARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "209-879-9570"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Personal Care Attendant in Mountain House, CA
• Providers in Mountain House, CA by specialty
• Personal Care Attendant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2025; 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.