Provider Demographics
NPI:1962459511
Name:CHEMANA CHILDRENS HEALTH CARE SERVICES INC.
Entity Type:Organization
Organization Name:CHEMANA CHILDRENS HEALTH CARE SERVICES INC.
Other - Org Name:CHEMANA HOME HEALTH SERVICES INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:EMILY
Authorized Official - Middle Name:C
Authorized Official - Last Name:ANUKEM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-503-1700
Mailing Address - Street 1:5913 NORTHWEST DR
Mailing Address - Street 2:
Mailing Address - City:MESQUITE
Mailing Address - State:TX
Mailing Address - Zip Code:75150-1431
Mailing Address - Country:US
Mailing Address - Phone:214-503-1700
Mailing Address - Fax:214-503-1716
Practice Address - Street 1:5913 NORTHWEST DR
Practice Address - Street 2:
Practice Address - City:MESQUITE
Practice Address - State:TX
Practice Address - Zip Code:75150-1431
Practice Address - Country:US
Practice Address - Phone:214-503-1700
Practice Address - Fax:214-503-1716
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-28
Last Update Date:2019-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX007740251E00000X
251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX673189Medicare ID - Type UnspecifiedLEGACY IDENTIFIER OSCAR