Provider Demographics
NPI:1962834374
Name:COMMUNITY HEALTH ALLIED SERVICES LLC
Entity Type:Organization
Organization Name:COMMUNITY HEALTH ALLIED SERVICES LLC
Other - Org Name:CHAS HOSPICE STOCKTON
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GINA
Authorized Official - Middle Name:
Authorized Official - Last Name:CASTROMAYOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-408-6522
Mailing Address - Street 1:596 N LAKE AVE STE 203
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91101-1222
Mailing Address - Country:US
Mailing Address - Phone:714-408-6522
Mailing Address - Fax:
Practice Address - Street 1:5651 N PERSHING AVE STE B5
Practice Address - Street 2:
Practice Address - City:STOCKTON
Practice Address - State:CA
Practice Address - Zip Code:95207-4947
Practice Address - Country:US
Practice Address - Phone:209-390-1265
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COMMUNITY HEALTH ALLIED SERVICES LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-08-07
Last Update Date:2013-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based