Healthcare Provider Details

I. General information

NPI: 1518509173
Provider Name (Legal Business Name): CHARRM LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/15/2019
Last Update Date: 02/01/2022
Certification Date: 02/01/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4423 DEVINE ST STE E
COLUMBIA SC
29205-3611
US

IV. Provider business mailing address

328 ASH TREE RD
COLUMBIA SC
29229-9386
US

V. Phone/Fax

Practice location:
  • Phone: 803-995-6872
  • Fax:
Mailing address:
  • Phone: 803-546-8616
  • Fax: 803-834-4005

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number
License Number State
# 7
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MARY LYNN KATIO
Title or Position: ADMINISTRATOR/OWNER
Credential: RN
Phone: 803-546-8616