Provider Demographics
NPI:1023033263
Name:CHARISMA HOME HEALTHCARE INC
Entity type:Organization
Organization Name:CHARISMA HOME HEALTHCARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SHIRLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:ASONIBE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-264-4227
Mailing Address - Street 1:1325 BOYD ST
Mailing Address - Street 2:
Mailing Address - City:CEDAR HILL
Mailing Address - State:TX
Mailing Address - Zip Code:75104-5086
Mailing Address - Country:US
Mailing Address - Phone:469-264-4227
Mailing Address - Fax:
Practice Address - Street 1:415 WEAVER ST
Practice Address - Street 2:
Practice Address - City:CEDAR HILL
Practice Address - State:TX
Practice Address - Zip Code:75104-2856
Practice Address - Country:US
Practice Address - Phone:469-454-6826
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-12
Last Update Date:2025-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
163WC1600X, 163WD0400X, 163WG0000X, 163WI0500X, 163WR1000X, 174H00000X, 207V00000X, 251J00000X, 251K00000X, 251S00000X, 282J00000X, 302F00000X, 311ZA0620X, 376J00000X
TX7002394251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome HealthGroup - Multi-Specialty
No163WC1600XNursing Service ProvidersRegistered NurseContinuing Education/Staff DevelopmentGroup - Multi-Specialty
No163WD0400XNursing Service ProvidersRegistered NurseDiabetes EducatorGroup - Multi-Specialty
No163WG0000XNursing Service ProvidersRegistered NurseGeneral PracticeGroup - Multi-Specialty
No163WI0500XNursing Service ProvidersRegistered NurseInfusion TherapyGroup - Multi-Specialty
No163WR1000XNursing Service ProvidersRegistered NurseReproductive Endocrinology/InfertilityGroup - Multi-Specialty
No174H00000XOther Service ProvidersHealth Educator
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Multi-Specialty
No251J00000XAgenciesNursing Care
No251K00000XAgenciesPublic Health or Welfare
No251S00000XAgenciesCommunity/Behavioral Health
No282J00000XHospitalsReligious Nonmedical Health Care Institution
No302F00000XManaged Care OrganizationsExclusive Provider Organization
No311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home
No376J00000XNursing Service Related ProvidersHomemakerGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX457831Medicare Oscar/Certification
TX457831Medicare ID - Type UnspecifiedHOME HEALTH AGENCY