Charter Home Health Staffing LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

CHARTER HOME HEALTH STAFFING LLC

Practice address

123 S Broad St Ste 2048
Philadelphia, PA 19109-1051

Phone

(267) 966-7975

NPI assigned

Sep 19, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Adekunle Abodunde

Title

President/Owner

Phone

(856) 304-7245

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Charter Home Health Doing business as

Locations

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

{
    "created_epoch": "1505779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659398400000",
    "number": "1992224109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 S BROAD ST",
            "address_2": "SUITE 2048",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19109",
            "telephone_number": "267-966-7975",
            "fax_number": "267-287-8349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 S BROAD ST STE 2048",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191091051",
            "telephone_number": "267-966-7975"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "123 S Broad St",
            "address_2": "Suite 2048",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "19109",
            "country_code": "US",
            "telephone_number": "267-966-7975",
            "fax_number": "267-287-8349",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CHARTER HOME HEALTH STAFFING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-19",
        "last_updated": "2022-08-02",
        "certification_date": "2022-08-02",
        "status": "A",
        "authorized_official_last_name": "ABODUNDE",
        "authorized_official_first_name": "ADEKUNLE",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "856-304-7245",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103533570-0001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Charter Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Samantha Rose Charlton, AUD
• Larisa Charn, RPH
• Kevin Charnigo
• Jacob W. Charny, MD
• Brittany Ann Charsar, MD, PHD
• Benjamin Chartier, PA-C
• Ralph Chartier
• Robert Chartier
• Sonya Lynn Chartoff, LPC
• Harrison Louis Charwat, MD

• In Home Supportive Care Agency in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• In Home Supportive Care Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 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.