Provider Demographics
NPI:1295846558
Name:CHS, INC
Entity Type:Organization
Organization Name:CHS, INC
Other - Org Name:CARILION HOME CARE SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:TERRY
Authorized Official - Middle Name:GUYNN
Authorized Official - Last Name:TILLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:540-633-9333
Mailing Address - Street 1:707 RANDOLPH ST STE 250
Mailing Address - Street 2:
Mailing Address - City:RADFORD
Mailing Address - State:VA
Mailing Address - Zip Code:24141-2443
Mailing Address - Country:US
Mailing Address - Phone:540-633-9333
Mailing Address - Fax:540-633-9322
Practice Address - Street 1:707 RANDOLPH ST STE 250
Practice Address - Street 2:
Practice Address - City:RADFORD
Practice Address - State:VA
Practice Address - Zip Code:24141-2443
Practice Address - Country:US
Practice Address - Phone:540-633-9333
Practice Address - Fax:540-633-9322
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2008-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAEXEMPT251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA008743011Medicaid
VA008750131Medicaid
VA008772665Medicaid
VA008702667Medicaid
VA008742952Medicaid
VA008770301Medicaid
VA008700842Medicaid
VA008750843Medicaid
VA008701539Medicaid
VA009101306Medicaid