=====================================================
General NPI Number Information
=====================================================
NPI Number | 1689112583
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | CHAPEL HEALTH PARTNERS LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/10/2017
-----------------------------------------------------
Last Update Date | 02/10/2017
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 255 NORFOLK LN
-----------------------------------------------------
City | NOLENSVILLE
-----------------------------------------------------
State | TN
-----------------------------------------------------
Zip | 37135-8419
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 615-538-8810
-----------------------------------------------------
Fax | 615-538-8816
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 330547
-----------------------------------------------------
City | MURFREESBORO
-----------------------------------------------------
State | TN
-----------------------------------------------------
Zip | 37133-0547
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 615-538-8810
-----------------------------------------------------
Fax | 615-538-8816
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT & CEO
-----------------------------------------------------
Name | MR. STEVEN E ELKINS
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 615-538-8810
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 253Z00000X
-----------------------------------------------------
Taxonomy Name | In Home Supportive Care Agency
-----------------------------------------------------
License Number | I000000018691
-----------------------------------------------------
License Number State | TN
-----------------------------------------------------