Provider Demographics
NPI:1386828838
Name:MCARTER, CHARLOTTE DARLENE (CNA,QMA)
Entity Type:Individual
Prefix:MRS
First Name:CHARLOTTE
Middle Name:DARLENE
Last Name:MCARTER
Suffix:
Gender:F
Credentials:CNA,QMA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1313 AIRPORT RD
Mailing Address - Street 2:
Mailing Address - City:CENTERVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47330-9520
Mailing Address - Country:US
Mailing Address - Phone:765-935-7040
Mailing Address - Fax:
Practice Address - Street 1:1313 AIRPORT RD
Practice Address - Street 2:
Practice Address - City:CENTERVILLE
Practice Address - State:IN
Practice Address - Zip Code:47330-9520
Practice Address - Country:US
Practice Address - Phone:765-935-7040
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-19
Last Update Date:2008-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN890206374U00000X
376J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
No376J00000XNursing Service Related ProvidersHomemaker
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN890206OtherQMA