Healthcare Provider Details

I. General information

NPI: 1154654564
Provider Name (Legal Business Name): CHAI'S ADULT DAY HEALTH CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/16/2009
Last Update Date: 02/16/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5725 WILTON DR
NEW ORLEANS LA
70122-3435
US

IV. Provider business mailing address

5920 WINCHESTER PK DR
NEW ORLEANS LA
70128
US

V. Phone/Fax

Practice location:
  • Phone: 225-337-5906
  • Fax:
Mailing address:
  • Phone: 504-485-3436
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MS. PATRICIA ANN JOHNSON
Title or Position: OWNER
Credential: REGISTERED NURSE
Phone: 504-485-3436