Provider Demographics
NPI:1982484978
Name:AUGUST CHAI ENTERPRISES LLC
Entity Type:Organization
Organization Name:AUGUST CHAI ENTERPRISES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:R
Authorized Official - Last Name:CHAI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:626-378-8277
Mailing Address - Street 1:1251 GROVE AVE STE E
Mailing Address - Street 2:
Mailing Address - City:ATWATER
Mailing Address - State:CA
Mailing Address - Zip Code:95301-3653
Mailing Address - Country:US
Mailing Address - Phone:209-357-0765
Mailing Address - Fax:209-357-2580
Practice Address - Street 1:1251 GROVE AVE STE E
Practice Address - Street 2:
Practice Address - City:ATWATER
Practice Address - State:CA
Practice Address - Zip Code:95301-3653
Practice Address - Country:US
Practice Address - Phone:209-357-0765
Practice Address - Fax:209-357-2580
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:AUGUST CHAI ENTERPRISES LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-10-05
Last Update Date:2023-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care