MEDICARE: CHARM'S COMPASSIONATE CARE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	310400000X	Assisted Living Facility
2	3104A0625X	Assisted Living Facility (Mental Illness)
3	311500000X	Alzheimer Center (Dementia Center)

General Provider Information

NPI Number	:	1073487807
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHARM'S COMPASSIONATE CARE LLC

Provider Business Mailing Address
First Line	:	1715 37TH ST
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33407-3501
Country	:	US
Telephone Number	:	561-574-3171
Fax Number	:

Provider Business Practice Location Address
First Line	:	1715 37TH ST
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33407-3501
Country	:	US
Telephone Number	:	561-574-3171
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MS. CHARMAINE ANDREA HARDEN
Credential	:	REGISTERED NURSE
Telephone Number	:	561-574-3171

Provider Enumeration Date	:	10/03/2025
Last Update Date	:	10/03/2025

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