Healthcare Provider Details

I. General information

NPI: 1649117987
Provider Name (Legal Business Name): CHATEAU HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2026
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3712 HIGHWAY 15 N
LAUREL MS
39440-1447
US

IV. Provider business mailing address

3712 HIGHWAY 15 N
LAUREL MS
39440-1447
US

V. Phone/Fax

Practice location:
  • Phone: 601-651-2340
  • Fax: 601-340-3131
Mailing address:
  • Phone: 601-651-2340
  • Fax: 601-340-3131

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: SHUNDRA SHAKEE WALKER
Title or Position: OWNER
Credential:
Phone: 601-651-2340