MEDICARE: CHARTWELL COMMUNITY SERVICES, 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	011270	TX

General Provider Information

NPI Number	:	1548472426
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHARTWELL COMMUNITY SERVICES, INC

Provider Business Mailing Address
First Line	:	2261 BROOKHOLLOW PLAZA DR
Second Line	:	SUITE 308A
City	:	ARLINGTON
State	:	TX
Zip	:	76006-7420
Country	:	US
Telephone Number	:	817-469-7455
Fax Number	:	817-548-0642

Provider Business Practice Location Address
First Line	:	2261 BROOKHOLLOW PLAZA DR
Second Line	:	SUITE 308A
City	:	ARLINGTON
State	:	TX
Zip	:	76006-7420
Country	:	US
Telephone Number	:	817-469-7455
Fax Number	:	817-548-0642

Authorized Official
Title or Position	:	VICE PRESIDENT OF REGULATORY
Name	:	DEBRA MILLER
Credential	:
Telephone Number	:	800-234-1866

Provider Enumeration Date	:	05/04/2007
Last Update Date	:	01/04/2019

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