Provider Demographics
NPI:1497435994
Name:CHARLES HENRY INC LLC
Entity Type:Organization
Organization Name:CHARLES HENRY INC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AGENCY DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:DEONDRE
Authorized Official - Middle Name:LOVELL
Authorized Official - Last Name:GRIER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:980-221-6242
Mailing Address - Street 1:8212 SPRINGHEAD LN
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28215-7359
Mailing Address - Country:US
Mailing Address - Phone:980-221-6242
Mailing Address - Fax:
Practice Address - Street 1:6212 FOSTER BROOK DR
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28216-1573
Practice Address - Country:US
Practice Address - Phone:980-221-6242
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-19
Last Update Date:2023-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health