Charter Healthcare of Tucson, LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

CHARTER HEALTHCARE OF TUCSON, LLC

Practice address

6400 E Grant Rd Ste 150
Tucson, AZ 85715-3898

Phone

(909) 644-4965

NPI assigned

Jul 25, 2019

Last updated

Feb 11, 2021By 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

Sylvie Boal, RN

Title

Compliance

Phone

(909) 644-4965

Specialties & licenses 1

Addresses

Other names 2

• Amber Hospice Former legal business name
• NEW LIFE HOSPICE LLC Former legal business name

Listed as

Charter Healthcare of Tucson, LLCCCN 031704

Ownership

For-Profit

Certified

Feb 15, 2020

Medicare certification status

ActiveFrom the Provider of Services file

Locations

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

{
    "created_epoch": "1564012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613001600000",
    "number": "1770137903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 E GRANT RD STE 150",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857153898",
            "telephone_number": "909-644-4965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 E GRANT RD STE 150",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857153898",
            "telephone_number": "909-644-4965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARTER HEALTHCARE OF TUCSON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-25",
        "last_updated": "2021-02-11",
        "certification_date": "2021-02-11",
        "status": "A",
        "authorized_official_last_name": "BOAL",
        "authorized_official_first_name": "SYLVIE",
        "authorized_official_title_or_position": "COMPLIANCE",
        "authorized_official_telephone_number": "909-644-4965",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amber Hospice",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "NEW LIFE HOSPICE LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Rachael Charles
• Sarah Charley, RN
• Alison Anne Charney, PHARMD
• Arianna Charos
• Aaron Charpentier, DDS
• Elaine J Charteris, ANP
• Jodi Roark Charvoz, RDN
• Eric Chase, M.D.
• Richard A Chase, M.D.
• Jessica Ryan Chasnoff, PSY D

• Community Based Hospice Care Agency in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Community Based Hospice Care Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.