Charlinda Diaz

Primary specialty

Home Modifications ContractorTaxonomy code 171WH0202X

License

OC012961 Issued in PA

Practice address

328 Harleysville Pike
Souderton, PA 18964-2139

Phone

(267) 205-2996

NPI assigned

Sep 15, 2014

Last updated

Jul 1, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Charlinda Hendricks Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1410739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656633600000",
    "number": "1962803593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "328 HARLEYSVILLE PIKE",
            "city": "SOUDERTON",
            "state": "PA",
            "postal_code": "189642139",
            "telephone_number": "267-205-2996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "328 HARLEYSVILLE PIKE",
            "city": "SOUDERTON",
            "state": "PA",
            "postal_code": "189642139",
            "telephone_number": "267-205-2996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "CHARLINDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-15",
        "last_updated": "2022-07-01",
        "certification_date": "2022-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171WH0202X",
            "taxonomy_group": "",
            "desc": "Contractor, Home Modifications",
            "state": "PA",
            "license": "OC012961",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC012961",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.foreverhomedesign.org",
            "affiliation": "N",
            "endpointDescription": "Past medical history used to inform and establish comprehensive treatment plan",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "328 Harleysville Pike",
            "city": "Souderton",
            "state": "PA",
            "country_code": "US",
            "postal_code": "189642139",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CHARLINDA",
            "last_name": "HENDRICKS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Home Modifications Contractor in Souderton, PA
• Providers in Souderton, PA by specialty
• Home Modifications Contractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2022; 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.