NPIMap

Organization Active NPI

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

  • Voluntary or Charitable Agency
  • Indio, CA
National Provider Identifier
1992837538
Registry record updated Sep 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Voluntary or Charitable AgencyTaxonomy code 251V00000X
Legal business name
C.H.A.R.L.E.E. FAMILY CARE, INC.
Practice address
82704 Miles Avenue
Indio, CA 92201-4230
Phone
(760) 342-5727
Fax
(760) 342-5674
NPI assigned
Mar 9, 2007
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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Voluntary or Charitable Agency 251V00000X CA Primary

Addresses

Primary practice location

82704 Miles Avenue
Indio, CA 92201-4230

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.

Locations

136 E Sixth St
Beaumont, CA 92223
Phone (951) 845-3588

82704 Miles Ave
Indio, CA 92201
Phone (760) 342-5674

Practitioners & affiliated clinicians

Practitioners 17

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.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758499200000",
    "number": "1992837538",
    "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": "82704 MILES AVENUE",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922014230",
            "telephone_number": "760-342-5727",
            "fax_number": "760-342-5674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C.H.A.R.L.E.E. FAMILY CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "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": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indio, 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.