MEDICARE: CHARTWELL COMMUNITY SERVICE, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency	011272	TX
2	251E00000X	Home Health Agency	011265	TX
3	251E00000X	Home Health Agency	011264	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	945533160	OTHER	TX	TDH CONNECT
2	945642165	OTHER	TX	ANSI
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1366654246
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHARTWELL COMMUNITY SERVICE, INC

Provider Business Mailing Address
First Line	:	3010 LYNDON B JOHNSON FWY STE 1100
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75234-2712
Country	:	US
Telephone Number	:	517-768-4373
Fax Number	:	903-537-8420

Provider Business Practice Location Address
First Line	:	4444 CORONA DR
Second Line	:	SUITE 233
City	:	CORPUS CHRISTI
State	:	TX
Zip	:	78411
Country	:	US
Telephone Number	:	361-855-2090
Fax Number	:	361-855-2090

Authorized Official
Title or Position	:	DIR LICENSE & REGULATORY COMPLIANCE
Name	:	ANGEL STANSBURY
Credential	:
Telephone Number	:	337-344-2141

Provider Enumeration Date	:	05/04/2007
Last Update Date	:	02/04/2026

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Directions to “CHARTWELL COMMUNITY SERVICE, INC ” Practice Location

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