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	011269	TX

Other Identifiers

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

General Provider Information

NPI Number	:	1568566099
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	:	710 S WHEELER ST
Second Line	:
City	:	JASPER
State	:	TX
Zip	:	75951-4544
Country	:	US
Telephone Number	:	409-384-6577
Fax Number	:	409-242-6634

Authorized Official
Title or Position	:	DIR LICENSE & REGULATORY COMPLIANCE
Name	:	ANGEL STANSBURY
Credential	:
Telephone Number	:	337-344-2141

Provider Enumeration Date	:	09/13/2006
Last Update Date	:	02/04/2026

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Directions to “CHARTWELL COMMUNITY SERVICES, INC. ” Practice Location

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