Provider Demographics
NPI:1073361267
Name:CHASE MEDICAL SERVICES, LLC
Entity type:Organization
Organization Name:CHASE MEDICAL SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DARLENE
Authorized Official - Middle Name:L
Authorized Official - Last Name:MALLETT
Authorized Official - Suffix:
Authorized Official - Credentials:MSN, RN
Authorized Official - Phone:216-288-6121
Mailing Address - Street 1:134 E 214TH ST
Mailing Address - Street 2:
Mailing Address - City:EUCLID
Mailing Address - State:OH
Mailing Address - Zip Code:44123-1075
Mailing Address - Country:US
Mailing Address - Phone:216-288-6121
Mailing Address - Fax:
Practice Address - Street 1:1772 CATALPA RD
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44112-1009
Practice Address - Country:US
Practice Address - Phone:216-288-6121
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-11
Last Update Date:2024-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care