Provider Demographics
NPI:1306432174
Name:CHANIELS CHILDRENS PLACE INC
Entity type:Organization
Organization Name:CHANIELS CHILDRENS PLACE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SEWANU
Authorized Official - Middle Name:
Authorized Official - Last Name:HUNVENU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-897-9429
Mailing Address - Street 1:PO BOX 2278
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77487-2278
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:8106 PINEBROOK ARBOR CT
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77407-3130
Practice Address - Country:US
Practice Address - Phone:713-897-9429
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-16
Last Update Date:2022-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome Health
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Multi-Specialty