Provider Demographics
NPI:1699111021
Name:CHANNEL HEALTH GROUP OF COMPANIES INC
Entity type:Organization
Organization Name:CHANNEL HEALTH GROUP OF COMPANIES INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:VARUGHESE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-680-1623
Mailing Address - Street 1:3939 US HIGHWAY 80 EAST
Mailing Address - Street 2:STE 254
Mailing Address - City:MESQUITE
Mailing Address - State:TX
Mailing Address - Zip Code:75150
Mailing Address - Country:US
Mailing Address - Phone:214-680-1623
Mailing Address - Fax:800-675-3203
Practice Address - Street 1:3939 US HIGHWAY 80 E
Practice Address - Street 2:STE 254
Practice Address - City:MESQUITE
Practice Address - State:TX
Practice Address - Zip Code:75150-3359
Practice Address - Country:US
Practice Address - Phone:214-680-1623
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-13
Last Update Date:2013-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health