Provider Demographics
NPI:1407807670
Name:CHARTWELL COMMUNITY SERVICES, INC.
Entity type:Organization
Organization Name:CHARTWELL COMMUNITY SERVICES, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT OF REGULATORY
Authorized Official - Prefix:
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-234-1866
Mailing Address - Street 1:1717 N IH 35
Mailing Address - Street 2:SUITE 150
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78664-2928
Mailing Address - Country:US
Mailing Address - Phone:512-238-6226
Mailing Address - Fax:512-238-6226
Practice Address - Street 1:1717 N IH 35
Practice Address - Street 2:SUITE 150
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78664-2928
Practice Address - Country:US
Practice Address - Phone:512-238-6226
Practice Address - Fax:512-238-6226
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-13
Last Update Date:2019-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health