Provider Demographics
NPI:1710938972
Name:CHARTWELL COMMUNITY SERVICES, INC.
Entity Type:Organization
Organization Name:CHARTWELL COMMUNITY SERVICES, INC.
Other - Org Name:JORDAN HEALTH SERVICES, A PART OF THE ELARA CARING NETWORK
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT OF REGULATORY
Authorized Official - Prefix:
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-234-1866
Mailing Address - Street 1:4444 CORONA DR
Mailing Address - Street 2:SUITE 233
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78411-4324
Mailing Address - Country:US
Mailing Address - Phone:631-855-2090
Mailing Address - Fax:361-855-0973
Practice Address - Street 1:4444 CORONA DR
Practice Address - Street 2:SUITE 233
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78411-4324
Practice Address - Country:US
Practice Address - Phone:631-855-2090
Practice Address - Fax:361-855-0973
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-12
Last Update Date:2019-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health