Provider Demographics
NPI:1811737265
Name:CHARMING HOME CARE AGENCY LLC
Entity type:Organization
Organization Name:CHARMING HOME CARE AGENCY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LAXMI
Authorized Official - Middle Name:
Authorized Official - Last Name:DAHAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:502-389-6197
Mailing Address - Street 1:8113 CLEMATIS LN
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40228-2204
Mailing Address - Country:US
Mailing Address - Phone:502-389-6197
Mailing Address - Fax:
Practice Address - Street 1:8113 CLEMATIS LN
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40228-2204
Practice Address - Country:US
Practice Address - Phone:502-389-6197
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-31
Last Update Date:2024-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care