Provider Demographics
NPI:1124417886
Name:CHASE HEALTHCARE AND AFFILIATES, LLC
Entity type:Organization
Organization Name:CHASE HEALTHCARE AND AFFILIATES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHEREE
Authorized Official - Middle Name:CARTER
Authorized Official - Last Name:CARTER CHASE
Authorized Official - Suffix:
Authorized Official - Credentials:RN, MSN/MBA
Authorized Official - Phone:410-905-7887
Mailing Address - Street 1:4414 EASTWAY
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21218-1101
Mailing Address - Country:US
Mailing Address - Phone:443-579-4433
Mailing Address - Fax:
Practice Address - Street 1:4414 EASTWAY
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21218-1101
Practice Address - Country:US
Practice Address - Phone:443-579-4433
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-20
Last Update Date:2015-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR125873163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Multi-Specialty