Provider Demographics
NPI:1376740514
Name:CHELSTON CARE SERVICES, INC.
Entity Type:Organization
Organization Name:CHELSTON CARE SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR /DIRECTOR OF NURSING
Authorized Official - Prefix:MS
Authorized Official - First Name:VERA
Authorized Official - Middle Name:U
Authorized Official - Last Name:UZOMA
Authorized Official - Suffix:
Authorized Official - Credentials:REGISTERED NURSE
Authorized Official - Phone:281-494-0906
Mailing Address - Street 1:4434 BLUE BONNET DRIVE
Mailing Address - Street 2:SUITE 118
Mailing Address - City:STAFFORD
Mailing Address - State:TX
Mailing Address - Zip Code:77477
Mailing Address - Country:US
Mailing Address - Phone:281-494-0906
Mailing Address - Fax:281-277-0664
Practice Address - Street 1:4434 BLUE BONNET DRIVE
Practice Address - Street 2:SUITE 118
Practice Address - City:STAFFORD
Practice Address - State:TX
Practice Address - Zip Code:77477
Practice Address - Country:US
Practice Address - Phone:281-494-0906
Practice Address - Fax:281-277-0664
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-29
Last Update Date:2012-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX011391251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care