Prospect Chartercare RWMC, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

HNC02226 Issued in RI

Legal business name

PROSPECT CHARTERCARE RWMC, LLC

Doing business as

CharterCARE Home Health Services

Practice address

50 Maude St
Providence, RI 02908-4325

Phone

(401) 456-2273

Fax

(401) 456-2386

NPI assigned

Feb 27, 2014

Last updated

Jan 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

Robert Jon Elders

Title

Secretary

Phone

(714) 788-1249

Specialties & licenses 1

Addresses

Other names 1

• CharterCARE Home Health Services Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Change-of-ownership history 1

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

• Prospect Chartercare Home Health and Hospice, LLC

  • Home Health Agency
  • Providence, RI
  • NPI 1811402100

  Sold to, 2018-05-01

  CMS change of ownership

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

{
    "created_epoch": "1393459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610323200000",
    "number": "1912322918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 CHALKSTONE AVE",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029084728",
            "telephone_number": "401-456-2000",
            "fax_number": "401-456-2029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 MAUDE ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029084325",
            "telephone_number": "401-456-2273",
            "fax_number": "401-456-2386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSPECT CHARTERCARE RWMC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-27",
        "last_updated": "2021-01-11",
        "certification_date": "2021-01-11",
        "status": "A",
        "authorized_official_last_name": "ELDERS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "JON",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "714-788-1249"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "RI",
            "license": "HNC02226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CharterCARE Home Health Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CharterCARE Home Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Prospect Chartercare RWMC, LLC (Roger Williams Medical Center)
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• Prospect Chartercare RWMC, LLC (Roger Williams Medical Center)
• Prospect Chartercare RWMC, LLC (Roger Williams Medical Center)
• Prospect Chartercare RWMC, LLC
• Prospect Chartercare Sjhsri, LLC (St. Joseph Dental Associates)
• Anne Prosser, LMT
• Prosthodontics, LTD
• Alecia Protentis
• Scott Proto

• Home Health Agency in Providence, RI
• Providers in Providence, RI by specialty
• Home Health Agency in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.