Provider Demographics
NPI:1689969065
Name:CHARTERED HEALTH SERVICES, INC.
Entity Type:Organization
Organization Name:CHARTERED HEALTH SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ALT. DIRECTOR OF NURSING
Authorized Official - Prefix:MS
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:KURIEN
Authorized Official - Last Name:VATTACHACKAL
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:214-320-6000
Mailing Address - Street 1:200 TANNER CREEK CIR
Mailing Address - Street 2:
Mailing Address - City:SUNNYVALE
Mailing Address - State:TX
Mailing Address - Zip Code:75182-9109
Mailing Address - Country:US
Mailing Address - Phone:214-320-6000
Mailing Address - Fax:972-226-3337
Practice Address - Street 1:200 TANNER CREEK CIR
Practice Address - Street 2:
Practice Address - City:SUNNYVALE
Practice Address - State:TX
Practice Address - Zip Code:75182-9109
Practice Address - Country:US
Practice Address - Phone:214-320-6000
Practice Address - Fax:972-226-3337
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-14
Last Update Date:2011-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health