=====================================================
General NPI Number Information
=====================================================
NPI Number | 1881565398
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | CHAPO CARE SOLUTIONS
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/16/2025
-----------------------------------------------------
Last Update Date | 09/16/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 463 DURYEA AVE
-----------------------------------------------------
City | UNIONDALE
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 11553-2220
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 516-850-8225
-----------------------------------------------------
Fax | 516-850-8225
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 463 DURYEA AVE
-----------------------------------------------------
City | UNIONDALE
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 11553-2220
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 516-850-8225
-----------------------------------------------------
Fax | 516-850-8225
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | LPN
-----------------------------------------------------
Name | CHARLINE POLYNICE
-----------------------------------------------------
Credential | NURSING
-----------------------------------------------------
Telephone | 516-850-8225
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 164W00000X
-----------------------------------------------------
Taxonomy Name | Licensed Practical Nurse
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------