NPIMap

Organization Active NPI

Charlin Healthcare Services, Inc.

Doing business as Charlin Home Health Agency

  • Home Health Agency
  • Plano, TX
National Provider Identifier
1790831741
Registry record updated Sep 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
008759 Issued in TX
Legal business name
CHARLIN HEALTHCARE SERVICES, INC.
Doing business as
Charlin Home Health Agency
Practice address
400 Chisholm PL
400
Plano, TX 75075-8941
Phone
(972) 424-3200
Fax
(972) 578-7803
NPI assigned
Jan 25, 2007
Last updated
Sep 18, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2021

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

Authorized official

Name
Mrs. Rosemary Bryce, RN
Title
Director of Nursing
Phone
(972) 424-3200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 008759 TX Primary

Addresses

Primary practice location

400 Chisholm PL
400
Plano, TX 75075-8941

Mailing address

400 Chisholm PL
400
Plano, TX 75075-6938
Phone (972) 424-3200

Other names 1

  • Charlin Home Health Agency Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040122000791 TX Part A Provider - Home Health Agency 3072415876 Practice locations: Plano, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1790831741. Details of each certification follow.

Home health agency certification: CCN 453150

Legal name
CHARLIN HEALTHCARE SERVICES, INC.
Doing business as
CHARLIN HEALTHCARE SERVICES
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Aug 30, 2004
Last certification
Jan 10, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Sep 12, 2003 in TX
Enrollment address
400 Chisholm PL
Suite 400
Plano, TX 75075-6911

Care Compare: Home health agency

Medicare Care Compare
Listed as
Charlin Home HealthCCN 453150 · All quality measures
Overall star rating
3 of 5
Ownership
Proprietary
Certified
Aug 30, 2004
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D1018449Charlin Healthcare Services Inc400 Chisholm Place, Suite 400, Plano, TX 75075Certificate of waiverOct 22, 2027

National Provider Directory

National Provider Directory

Locations

400 Chisholm Pl
Ste 400
Plano, TX 75075
Phone (972) 423-4170

Ownership & related parties

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Charles Bryce Individual 5% Or Greater Direct Ownership Interest Feb 22, 2012 5%
Corporate Officer Oct 17, 2016 100%
W-2 Managing EmployeeAdministrator/Cfo Feb 22, 2012 100%
Operational/Managerial ControlAdministrator/Cfo Oct 17, 2016 100%
Richard Bryce Individual 5% Or Greater Direct Ownership Interest Nov 2, 2003 5%
Rosemary Bryce Individual 5% Or Greater Direct Ownership Interest Sep 12, 2003 95%
W-2 Managing EmployeeDirector of Nursing Sep 12, 2003 95%

Practitioners & affiliated clinicians

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.

Affiliated clinicians 12

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631923200000",
    "number": "1790831741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 CHISHOLM PL",
            "address_2": "400",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750756938",
            "telephone_number": "972-424-3200",
            "fax_number": "972-578-7803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 CHISHOLM PL",
            "address_2": "400",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750758941",
            "telephone_number": "972-424-3200",
            "fax_number": "972-578-7803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLIN HEALTHCARE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2021-09-18",
        "certification_date": "2021-09-18",
        "status": "A",
        "authorized_official_last_name": "BRYCE",
        "authorized_official_first_name": "ROSEMARY",
        "authorized_official_title_or_position": "DIRECTOR OF NURSING",
        "authorized_official_telephone_number": "972-424-3200",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "008759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Charlin Home Health Agency",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.