MEDICARE: MRS. CHARMAINE SINGH

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	310400000X	Assisted Living Facility

General Provider Information

NPI Number	:	1255219325
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. CHARMAINE SINGH

Provider Business Mailing Address
First Line	:	3173 WENDEL RD SE
Second Line	:
City	:	PALM BAY
State	:	FL
Zip	:	32909-8470
Country	:	US
Telephone Number	:	321-467-1100
Fax Number	:

Provider Business Practice Location Address
First Line	:	3173 WENDEL RD SE
Second Line	:
City	:	PALM BAY
State	:	FL
Zip	:	32909-8470
Country	:	US
Telephone Number	:	321-467-1100
Fax Number	:	321-467-1100

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/26/2025
Last Update Date	:	08/26/2025

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Directions to “ MRS. CHARMAINE SINGH ” Practice Location

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