Healthcare Provider Details
I. General information
NPI: 1952890451
Provider Name (Legal Business Name): CHARMINGHEARTS HEALTH CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/09/2018
Last Update Date: 10/24/2022
Certification Date: 10/24/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
626 SILVERTON ST
SPRING TX
77373-5533
US
IV. Provider business mailing address
626 SILVERTON ST
SPRING TX
77373-5533
US
V. Phone/Fax
- Phone: 832-493-7273
- Fax:
- Phone: 832-493-7273
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 376K00000X |
| Taxonomy | Nurse's Aide |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 374U00000X |
| Taxonomy | Home Health Aide |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ATTALLAH
YASMEEN
SANDERS
Title or Position: OWNER/CHIEF EXECUTIVE OFFICER
Credential:
Phone: 832-493-7273