Healthcare Provider Details

I. General information

NPI: 1275745150
Provider Name (Legal Business Name): CHARTWELL COMMUNITY SERVICE, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2007
Last Update Date: 09/30/2024
Certification Date: 09/30/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3524 W ALBERTA RD
EDINBURG TX
78539-8466
US

IV. Provider business mailing address

3010 LYNDON B JOHNSON FWY STE 1100
DALLAS TX
75234-2712
US

V. Phone/Fax

Practice location:
  • Phone: 956-381-5804
  • Fax: 956-381-5901
Mailing address:
  • Phone: 800-234-1866
  • Fax: 903-537-8420

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number011264
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number011272
License Number StateTX
# 3
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number011265
License Number StateTX

VIII. Authorized Official

Name: KATIE MONASTIERE
Title or Position: COMPLIANCE PRIVACY&SAFETY OFFICER
Credential: CHC
Phone: 517-768-4373