Charity Boatright

Individual provider Active NPI Case Manager/Care Coordinator · Gary, IN

NPI 1790656767 · NPPES record last updated Sep 15, 2025

Key facts

NPI
1790656767
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
2288 Cleveland St
Gary, IN 46404-3422
Phone
(219) 730-0144
NPI assigned
Sep 15, 2025
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

2288 Cleveland St
Gary, IN 46404-3422

Mailing address

2288 Cleveland St
Gary, IN 46404-3422

Other providers in Gary, IN

All providers in Gary, IN · Case Manager/Care Coordinator in Indiana

Sources for this page

Verify at the official NPI Registry.