Organization Active NPI

C.H.a.R.L.E.E. Family Care, Inc.

  • Health Maintenance Organization
  • El Centro, CA
National Provider Identifier
1982080446
Registry record updated Sep 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
Legal business name
C.H.A.R.L.E.E. FAMILY CARE, INC.
Practice address
495 E Orange Avenue
El Centro, CA 92243-2744
Phone
(760) 353-6151
Fax
(760) 353-6152
NPI assigned
Aug 7, 2015
Last updated
Sep 22, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2025

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

Authorized official

Name
Dr. Jason Carl Jimenez
Title
Executive Director
Phone
(909) 379-9680

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X NU Primary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X NU

Addresses

Primary practice location

495 E Orange Avenue
El Centro, CA 92243-2744

Mailing address

136 E 6TH Street
Beaumont, CA 92223-2146
Phone (951) 845-3588

National Provider Directory

National Provider Directory
Tax ID family
Charlee Family Care Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1438905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758499200000",
    "number": "1982080446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 E 6TH STREET",
            "city": "BEAUMONT",
            "state": "CA",
            "postal_code": "922232146",
            "telephone_number": "951-845-3588",
            "fax_number": "951-845-3544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "495 E ORANGE AVENUE",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922432744",
            "telephone_number": "760-353-6151",
            "fax_number": "760-353-6152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C.H.A.R.L.E.E. FAMILY CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-07",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-22",
        "status": "A",
        "authorized_official_last_name": "JIMENEZ",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "CARL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "909-379-9680",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Centro, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2025; 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.