Provider Demographics
NPI:1073837829
Name:'CHYNA CARES' HEALTH SERVICES
Entity Type:Organization
Organization Name:'CHYNA CARES' HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:JENEEN
Authorized Official - Middle Name:LYNNAE
Authorized Official - Last Name:LAVERGNE
Authorized Official - Suffix:
Authorized Official - Credentials:NCMA, CMA, CNA
Authorized Official - Phone:281-251-1528
Mailing Address - Street 1:20714 SPRINGLIGHT LN
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77379-3261
Mailing Address - Country:US
Mailing Address - Phone:281-251-1528
Mailing Address - Fax:281-251-1528
Practice Address - Street 1:20714 SPRINGLIGHT LN
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77379-3261
Practice Address - Country:US
Practice Address - Phone:832-790-8340
Practice Address - Fax:281-251-1528
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-23
Last Update Date:2010-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health