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CHARLIE BOB, LLC
NPI 1295119154
In Home Supportive Care in Fort Wayne, IN

Active since July 10, 2015
5202 SAINT JOE RD, SUITE 118, FORT WAYNE, IN 46835(260) 918-9525 Get Directions Write a Review

NPPES record last updated: July 10, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Charlie Bob, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHARLIE BOB, LLC (NPI 1295119154) is a healthcare organization registered as an in home supportive care in Fort Wayne, Indiana and active in the NPI registry since July 2015. The organization lists Charles Packer, Owner/ceo, as its authorized official.

NPPES Registry Identity

NPI1295119154
Entity TypeOrganization
Primary Taxonomy253Z00000X
Legal Business NameCHARLIE BOB, LLC
Location Address5202 SAINT JOE RD, SUITE 118Fort Wayne, IN 46835-3380
Mailing Address5202 Saint Joe Rd, Suite 118Fort Wayne, IN 46835-3380 · (260) 918-9525
Phone(260) 918-9525
Organization SubpartNo
Authorized OfficialCharles PackerOwner/ceo · (574) 265-1568
Enumeration DateJuly 10, 2015
✔ NPI 1295119154 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIn Home Supportive CareAgencies
Taxonomy Code253Z00000X
Definition
An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.
5202 SAINT JOE RD, Fort Wayne, IN 46835
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Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAUREN CLIFFTON PTA
Physical Therapy Assistant
5202 SAINT JOE RD
FORT WAYNE, IN 46835
Allen County (260) 632-8116
ABIGAIL PUFF MS, CCC, SLP
Speech-Language Pathologist
5202 SAINT JOE RD
FORT WAYNE, IN 46835
Allen County (260) 888-3121
DAWN MARIE BUSKIRK PTA
Physical Therapy Assistant
5202 SAINT JOE RD
FORT WAYNE, IN 46835
Allen County (260) 492-2202
MRS. MELINDA JOYCE CONNER DPT
Physical Therapist
5202 SAINT JOE RD
FORT WAYNE, IN 46835
Allen County (260) 485-6068
JENNIFER WEILBAKER
Occupational Therapist
5202 SAINT JOE RD
FORT WAYNE, IN 46835
Allen County (260) 492-2202
JENNA BREANN GARRISON
Physical Therapy Assistant
5202 SAINT JOE RD
FORT WAYNE, IN 46835
Allen County (260) 632-8116
CHELSEY LEMISH
Occupational Therapist
5202 SAINT JOE RD
FORT WAYNE, IN 46835
Allen County (260) 492-2202
MRS. MELANIE JO BEERY OT
Occupational Therapist
5202 SAINT JOE RD
FORT WAYNE, IN 46835
Allen County (260) 888-3121

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charlie Bob, LLC's NPI number?

The NPI number for Charlie Bob, LLC is 1295119154. It was assigned to this organization in the NPPES registry on July 10, 2015.

Where is Charlie Bob, LLC located?

Charlie Bob, LLC is located at 5202 Saint Joe Rd Suite 118, Fort Wayne, IN 46835. The listed phone number is (260) 918-9525.

What is Charlie Bob, LLC's specialty?

The primary specialty registered for this NPI is In Home Supportive Care with taxonomy code 253Z00000X.

When was this NPI record last updated?

The NPPES record for Charlie Bob, LLC was last updated on July 10, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.