MEDICARE: CHARTWELL COMMUNITY SERVICES, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3747P1801X	Personal Care Attendant
2	251E00000X	Home Health Agency	011270	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	945533160	OTHER	TX	TDH CONNECT
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	945642165	OTHER	TX	ANSI

General Provider Information

NPI Number	:	1003028986
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHARTWELL COMMUNITY SERVICES, INC

Provider Business Mailing Address
First Line	:	3010 LYNDON B JOHNSON FWY STE 1100
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75234-2712
Country	:	US
Telephone Number	:	800-234-1866
Fax Number	:	903-537-8420

Provider Business Practice Location Address
First Line	:	421 FIELDER NORTH PLZ
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76012-2308
Country	:	US
Telephone Number	:	817-469-7455
Fax Number	:	817-469-7477

Authorized Official
Title or Position	:	COMPLIANCE PRIVACY&SAFETY OFFICER
Name	:	KATIE MONASTIERE
Credential	:	CHC
Telephone Number	:	517-768-4373

Provider Enumeration Date	:	05/04/2007
Last Update Date	:	10/29/2024

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Directions to “CHARTWELL COMMUNITY SERVICES, INC ” Practice Location

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