Provider Demographics
NPI:1699147330
Name:CHASE-N-CHASNEA ENTERPRISE LLC
Entity type:Organization
Organization Name:CHASE-N-CHASNEA ENTERPRISE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:L
Authorized Official - Last Name:PEACOCK-CARTER
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:936-632-2636
Mailing Address - Street 1:1306 WEINER ST
Mailing Address - Street 2:
Mailing Address - City:LUFKIN
Mailing Address - State:TX
Mailing Address - Zip Code:75904
Mailing Address - Country:US
Mailing Address - Phone:832-919-6607
Mailing Address - Fax:936-398-6880
Practice Address - Street 1:1306 WEINER ST
Practice Address - Street 2:
Practice Address - City:LUFKIN
Practice Address - State:TX
Practice Address - Zip Code:75904
Practice Address - Country:US
Practice Address - Phone:832-919-6607
Practice Address - Fax:936-398-6880
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-21
Last Update Date:2015-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX653376251B00000X, 251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No251J00000XAgenciesNursing Care