MEDICARE: CHARIS HEALTH LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor

General Provider Information

NPI Number	:	1215884143
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHARIS HEALTH LLC

Provider Business Mailing Address
First Line	:	6915 OWLWOOD DR
Second Line	:
City	:	MASON
State	:	OH
Zip	:	45040-8920
Country	:	US
Telephone Number	:	513-479-2696
Fax Number	:

Provider Business Practice Location Address
First Line	:	7831 KENWOOD RD STE 2
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45236-2875
Country	:	US
Telephone Number	:	513-479-2696
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ANGELENE MARIE BLUE
Credential	:	D.C.
Telephone Number	:	513-479-2696

Provider Enumeration Date	:	03/11/2026
Last Update Date	:	03/11/2026

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Directions to “CHARIS HEALTH LLC ” Practice Location

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