Clifton R Charles

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

2024-64805-63597 Issued in SC

Practice address

2601 Read St
Columbia, SC 29204-7861

Phone

(803) 708-1620

NPI assigned

Jun 20, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• VC Charles Home Care LLC

  • In Home Supportive Care Agency
  • Columbia, SC
  • NPI 1013601434
  NPD Authorized official

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

{
    "created_epoch": "1718841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718841600000",
    "number": "1780428219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 READ ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292047861",
            "telephone_number": "803-708-1620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 READ ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292047861",
            "telephone_number": "803-708-1620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARLES",
        "first_name": "CLIFTON",
        "middle_name": "R",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-06-20",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "SC",
            "license": "2024-64805-63597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tashima D Chappell
• Charbella
• Charis Community Development Corporation, Inc.
• Charis Counseling & Consulting
• Charis Psychiatry, LLC
• Charleston ENT Associates, LLC
• Charleston ENT Associates, LLC
• Charrm LLC
• Victoria Charry
• Stacy Lynn Chase, RBT

• Home Health Agency in Columbia, SC
• Providers in Columbia, SC by specialty
• Home Health Agency in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; 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.