Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

CHACHA IMPACT HEALTHCARE SERVICE LLC
NPI 1306750013
Clinical Nurse Specialist - Home Health in Beltsville, MD

Active since September 30, 2026
12811 INNISBROOK DR, BELTSVILLE, MD 20705(240) 374-3285 Get Directions Write a Review

NPPES record added: September 30, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Chacha Impact Healthcare Service Llc NPPES

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

CHACHA IMPACT HEALTHCARE SERVICE LLC (NPI 1306750013) is a healthcare organization registered as a home health in Beltsville, Maryland and active in the NPI registry since September 2026. The organization lists Naomie Mesidor, Regiatered Nurse, as its authorized official.

NPPES Registry Identity

NPI1306750013
Entity TypeOrganization
Primary Taxonomy364SH0200X
Legal Business NameCHACHA IMPACT HEALTHCARE SERVICE LLC
Location Address12811 INNISBROOK DRBeltsville, MD 20705-1183
Mailing Address12811 Innisbrook DrBeltsville, MD 20705-1183 · (240) 374-3285
Organization SubpartNo
Authorized OfficialNaomie MesidorRegiatered Nurse · (240) 374-3285
Enumeration DateSeptember 30, 2026
NPPES CertifiedSeptember 30, 2026
✔ NPI 1306750013 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical Nurse Specialist · Home HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code364SH0200X
12811 INNISBROOK DR, Beltsville, MD 20705

Other Providers at the Same Location NPPES

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

Registered Nurse
12811 INNISBROOK DR
BELTSVILLE, MD 20705

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 Chacha Impact Healthcare Service LLC's NPI number?

The NPI number for Chacha Impact Healthcare Service LLC is 1306750013. It was assigned to this organization in the NPPES registry on September 30, 2026.

Where is Chacha Impact Healthcare Service LLC located?

Chacha Impact Healthcare Service LLC is located at 12811 Innisbrook Dr, Beltsville, MD 20705. The listed phone number is (240) 374-3285.

What is Chacha Impact Healthcare Service LLC's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Home Health, with taxonomy code 364SH0200X.

When was this NPI record last updated?

The NPPES record for Chacha Impact Healthcare Service LLC was last updated on September 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days 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.