Provider Demographics
NPI:1154130318
Name:CHASE STAFFING HOME THERAPY LLC
Entity type:Organization
Organization Name:CHASE STAFFING HOME THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:ROWE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-499-2000
Mailing Address - Street 1:4303 VINELAND RD STE F16
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32811-7352
Mailing Address - Country:US
Mailing Address - Phone:407-499-2000
Mailing Address - Fax:
Practice Address - Street 1:4303 VINELAND RD STE F16
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32811-7352
Practice Address - Country:US
Practice Address - Phone:407-499-2000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-02
Last Update Date:2025-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation