CHARIS (NPI# 1841830387) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841830387 |
| Entity Type | Organization |
| Organization Name | CHARIS |
| Other Organization Name | CHARIS HOUSE |
| Practice Address |
8820 Trinity Rd Ste 101 Cordova TN 38018-2735 |
| Practice Telephone | 9018305560 |
| Practice Fax Number | 9013281506 |
| Mailing Telephone | 9018305560 |
| Mailing Fax Number | 9013281506 |
| Enumeration Date | 2020-01-13 |
| Last Update Date | 2020-01-21 |
| Authorized Official Name | JOVAN HARRIS (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 9018305560 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Charis House | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104488949 | Charis | Community/Behavioral Health | 186 S River Ave Ste 5, Holland, MI 49423-2848 | 2019-07-02 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | CHARIS & MAE, INC. | 48 Albert Ct, Raudolph, Nj 07869 |
| Oregon Corporations, Companies and Business Names | CHARIS & PARAKLETOS GROUP, LLC | 14633 Ehlen Road, Aurora, OR 97002 |
| Virginia Business Entities | Charis /Enterprises LLC | 22 E. Church St., Suite 323, Martinsville, Virginia 24112 |
| Oregon Corporations, Companies and Business Names | CHARIS ADVERTISING & MARKETING | 261 Keen Rd, Grants Pass, OR 97527 |
| Oklahoma Business Registrations | CHARIS BAPTIST CHURCH, INC. | 2205 N Post Rd, Oklahoma City, OK 73141 |
| Colorado Business Entities | Charis Bible Colleges, Inc. | 1 Innovation Way, Woodland Park, CO 80863 |
| Colorado Business Entities | Charis Bible Fellowship, Inc. | 4160 Cr 200, Pagosa Springs, CO 81147 |
| New York State Corporations | CHARIS CHABOD INC. | 146-84 183rd Street, Springfield Gardens, New York 11413 |
| Colorado Business Entities | Charis Christian Center | 10285 Federal Dr, Colorado Springs, CO 80908 |
| Oregon Corporations, Companies and Business Names | CHARIS CHRISTIAN FELLOWSHIP | 2550 Snelling Dr, Eugene, OR 97408 |
| Street Address |
8820 TRINITY RD STE 101 |
| City | CORDOVA |
| State | TN |
| Zip Code | 38018-2735 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588264428 | Shaquia Janai Harris | Behavior Technician | 1079 N Houston Levee Road, Cordova, TN 38018 | 2020-10-29 |
| 1366041493 | Cynthia Brantley | Behavior Technician | 1079 N Houston Levee Rd, Cordova, TN 38018 | 2020-10-20 |
| 1558901736 | At Home Physical Rehabilitation Group, LLC | Physical Therapy Assistant | 856 Willow Tree Circle, Cordova, TN 38018 | 2020-01-15 |
| 1538703038 | Scott Eric Balogh | Psychiatry & Neurology | 65 Germantown Court, Suite 203, Cordova, TN 38018 | 2019-10-29 |
| 1851871305 | Joanna H Fussell | Behavioral Analyst | 8066 Walnut Run Suite 102, Cordova, TN 38018 | 2018-08-15 |
| 1841736097 | A Guardian Care Group | Home Health | 10164 Green Moss, Cordova, TN 38018 | 2017-01-12 |
| 1497127146 | Functional Independence, Inc. | Home Health | 270 German Oak Dr., Memphis, TN 38018 | 2015-10-21 |
| 1679984363 | Tiffany Masters Redfern | Obstetrics & Gynecology | 521 Riveredge Dr W, Cordova, TN 38018 | 2014-05-15 |
| 1295073427 | Mitchell Wyman Alvarez | Optometrist | 2075 N. Germantown Pkwy, Memphis, TN 38018 | 2013-01-23 |
| 1578827531 | Chiung Feng Hsu | Dentist | 831 Timber Creek Dr #1, Cordova, TN 38018 | 2012-06-25 |
| Find all providers in zip 38018 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831678184 | Kairos Integrated Support Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1959 Dartford Cv, Cordova, TN 38016-1411 | 2018-08-08 |
| 1558600619 | Victoria Health Services LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1951 Chartridge Dr, Cordova, TN 38016-2385 | 2013-02-10 |
| 1184817033 | Behavioral Services of Tennessee, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1155 Cully Rd, Cordova, TN 38018 | 2007-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194332148 | Talley Boarding Home | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2741 Smith Springs Rd, Nashville, TN 37217 | 2020-09-24 |
| 1821613571 | Jasmine E Jackson | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3165 Overton Crossing St, Memphis, TN 38127-6522 | 2020-06-09 |
| 1780208116 | Indya Daniels | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 262 Carriage House Dr, Jackson, TN 38305-2228 | 2020-06-01 |
| 1447891171 | Hamelmal S Admassie | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 880 Pin Oak Dr, Antioch, TN 37013-1532 | 2019-10-03 |
| 1285294306 | Kiarad Enterprises Services LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3994 Edenburg Dr, Memphis, TN 38127-4112 | 2019-06-20 |
| 1467910992 | Milestone Home Healthcare Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1037 Jefferson St Ste G, Nashville, TN 37208-2554 | 2019-03-04 |
| 1255897831 | Salim Homes Residential Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2714 Deerfield Dr, Nashville, TN 37208-1225 | 2019-02-19 |
| 1407324411 | Abundant Care Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2805 Foster Ave Ste 206, Nashville, TN 37210-5341 | 2018-11-07 |
| 1558837104 | Vicki Mckissick | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2131 Murfreesboro Pike Ste 210, Nashville, TN 37217-6306 | 2018-10-22 |
| 1699260273 | Quality Support Services, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2201 Murfreesboro Pike Ste D202, Nashville, TN 37217-3556 | 2018-06-26 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.