Provider Demographics
NPI:1851592307
Name:CHS GROUP LLC
Entity Type:Organization
Organization Name:CHS GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:DARRELL
Authorized Official - Last Name:BATES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:734-240-2018
Mailing Address - Street 1:1505 DIXIE DR
Mailing Address - Street 2:SUITE 4
Mailing Address - City:MONROE
Mailing Address - State:MI
Mailing Address - Zip Code:48162-5009
Mailing Address - Country:US
Mailing Address - Phone:734-240-0185
Mailing Address - Fax:734-241-5015
Practice Address - Street 1:1505 DIXIE DR
Practice Address - Street 2:SUITE 4
Practice Address - City:MONROE
Practice Address - State:MI
Practice Address - Zip Code:48162-5009
Practice Address - Country:US
Practice Address - Phone:734-240-0185
Practice Address - Fax:734-241-5015
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Single Specialty