Provider Demographics
NPI:1679826242
Name:CHALET HOME SERVICES INC.
Entity Type:Organization
Organization Name:CHALET HOME SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGIONAL DIRECTOR OF OPERATIONS
Authorized Official - Prefix:MS
Authorized Official - First Name:NATASHA
Authorized Official - Middle Name:SHEREE
Authorized Official - Last Name:HORRELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:650-282-2029
Mailing Address - Street 1:1900 S NORFOLK ST
Mailing Address - Street 2:SUITE 350
Mailing Address - City:SAN MATEO
Mailing Address - State:CA
Mailing Address - Zip Code:94403-1164
Mailing Address - Country:US
Mailing Address - Phone:650-282-2029
Mailing Address - Fax:650-963-4787
Practice Address - Street 1:1900 S NORFOLK ST
Practice Address - Street 2:SUITE 350
Practice Address - City:SAN MATEO
Practice Address - State:CA
Practice Address - Zip Code:94403-1164
Practice Address - Country:US
Practice Address - Phone:650-282-2029
Practice Address - Fax:650-963-4687
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-19
Last Update Date:2012-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes372600000XNursing Service Related ProvidersAdult CompanionGroup - Single Specialty