Provider Demographics
NPI:1619252558
Name:CHLF ENTERPRISES, INC
Entity Type:Organization
Organization Name:CHLF ENTERPRISES, INC
Other - Org Name:VISITING ANGELS OF ROSWELL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:TRACY
Authorized Official - Middle Name:
Authorized Official - Last Name:CHASTAIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-573-7817
Mailing Address - Street 1:500 SUN VALLEY DR STE B4
Mailing Address - Street 2:
Mailing Address - City:ROSWELL
Mailing Address - State:GA
Mailing Address - Zip Code:30076-5634
Mailing Address - Country:US
Mailing Address - Phone:770-573-7817
Mailing Address - Fax:866-326-1544
Practice Address - Street 1:500 SUN VALLEY DR STE B4
Practice Address - Street 2:
Practice Address - City:ROSWELL
Practice Address - State:GA
Practice Address - Zip Code:30076-5634
Practice Address - Country:US
Practice Address - Phone:770-573-7817
Practice Address - Fax:866-326-1544
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-11
Last Update Date:2011-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA060-R-0436253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care