Provider Demographics
NPI:1083399356
Name:CHAPPY5-2 LLC
Entity Type:Organization
Organization Name:CHAPPY5-2 LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:B
Authorized Official - Last Name:CHAPMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-809-6444
Mailing Address - Street 1:100 LILLIAN GISH BLVD SW STE 203
Mailing Address - Street 2:
Mailing Address - City:MASSILLON
Mailing Address - State:OH
Mailing Address - Zip Code:44647-6500
Mailing Address - Country:US
Mailing Address - Phone:330-809-6444
Mailing Address - Fax:330-237-9404
Practice Address - Street 1:100 LILLIAN GISH BLVD SW STE 203
Practice Address - Street 2:
Practice Address - City:MASSILLON
Practice Address - State:OH
Practice Address - Zip Code:44647-6500
Practice Address - Country:US
Practice Address - Phone:330-809-6444
Practice Address - Fax:330-237-9404
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-15
Last Update Date:2023-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care