Provider Demographics
NPI:1942769021
Name:CHILTON AND LESTE MANAGEMENT INC.
Entity Type:Organization
Organization Name:CHILTON AND LESTE MANAGEMENT INC.
Other - Org Name:ACCESS TLC CAREGIVERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SHELLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:CHILTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:805-517-1620
Mailing Address - Street 1:5401 TECH CIRCLE
Mailing Address - Street 2:
Mailing Address - City:MOORPARK
Mailing Address - State:CA
Mailing Address - Zip Code:93021-7101
Mailing Address - Country:US
Mailing Address - Phone:180-551-7162
Mailing Address - Fax:805-517-1621
Practice Address - Street 1:5401 TECH CIRCLE
Practice Address - Street 2:
Practice Address - City:MOORPARK
Practice Address - State:CA
Practice Address - Zip Code:93021-9302
Practice Address - Country:US
Practice Address - Phone:805-517-1620
Practice Address - Fax:805-517-1621
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CHILTON AND LESTE MANAGEMENT INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-03-18
Last Update Date:2022-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care