Provider Demographics
NPI:1578648671
Name:CHASE HEALTH CARE, INC.
Entity Type:Organization
Organization Name:CHASE HEALTH CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:C.E.O.
Authorized Official - Prefix:MR
Authorized Official - First Name:RUSSELL
Authorized Official - Middle Name:M
Authorized Official - Last Name:STARNS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:225-262-9741
Mailing Address - Street 1:4910 MONTICELLO BLVD
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70814-7237
Mailing Address - Country:US
Mailing Address - Phone:225-274-1444
Mailing Address - Fax:225-274-1244
Practice Address - Street 1:4910 MONTICELLO BLVD
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70814-7237
Practice Address - Country:US
Practice Address - Phone:225-274-1444
Practice Address - Fax:225-274-1244
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA925251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1426030Medicaid
LA1354171Medicaid
LA1022773OtherANCILLARY CARE MANAGEMENT
LA1185205Medicaid
LA197258Medicare ID - Type UnspecifiedHOME HEALTH