Provider Demographics
NPI:1013609676
Name:THE CHAABEL GROUP, LLC
Entity Type:Organization
Organization Name:THE CHAABEL GROUP, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:PHILLIP
Authorized Official - Middle Name:DUKE
Authorized Official - Last Name:CHADSEY
Authorized Official - Suffix:II
Authorized Official - Credentials:
Authorized Official - Phone:949-338-5025
Mailing Address - Street 1:1181 PUERTA DEL SOL STE 120
Mailing Address - Street 2:
Mailing Address - City:SAN CLEMENTE
Mailing Address - State:CA
Mailing Address - Zip Code:92673-6345
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1181 PUERTA DEL SOL STE 120
Practice Address - Street 2:
Practice Address - City:SAN CLEMENTE
Practice Address - State:CA
Practice Address - Zip Code:92673-6345
Practice Address - Country:US
Practice Address - Phone:949-331-9400
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-23
Last Update Date:2023-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care