Provider Demographics
NPI:1336941954
Name:JAMES, CHANTES
Entity type:Individual
Prefix:
First Name:CHANTES
Middle Name:
Last Name:JAMES
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1409 BLYTHEWOOD LN
Mailing Address - Street 2:
Mailing Address - City:SUFFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23434-2837
Mailing Address - Country:US
Mailing Address - Phone:757-556-5129
Mailing Address - Fax:757-300-1182
Practice Address - Street 1:1409 BLYTHEWOOD LN
Practice Address - Street 2:
Practice Address - City:SUFFOLK
Practice Address - State:VA
Practice Address - Zip Code:23434-2837
Practice Address - Country:US
Practice Address - Phone:757-556-5129
Practice Address - Fax:757-300-1182
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-25
Last Update Date:2025-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health