Healthcare Provider Details

I. General information

NPI: 1073361267
Provider Name (Legal Business Name): CHASE MEDICAL SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/11/2024
Last Update Date: 06/20/2025
Certification Date: 06/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1772 CATALPA RD
CLEVELAND OH
44112-1009
US

IV. Provider business mailing address

134 E 214TH ST
EUCLID OH
44123-1075
US

V. Phone/Fax

Practice location:
  • Phone: 216-288-6121
  • Fax:
Mailing address:
  • Phone: 216-288-6121
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: DARLENE L MALLETT
Title or Position: CEO
Credential: MSN, RN
Phone: 216-288-6121