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NPI Code Detail

MEDICARE: CHATEAU HOME CARE, INC.

MEDICARE: CHATEAU HOME CARE, 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
1253Z00000XIn Home Supportive Care Agency

General Provider Information

NPI Number : 1801629985
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHATEAU HOME CARE, INC.
Provider Business Mailing Address
First Line : 4125 REED RD
Second Line :
City : FORT WAYNE
State : IN
Zip : 46815-4939
Country : US
Telephone Number : 260-467-0819
Fax Number : 602-651-1313
Provider Business Practice Location Address
First Line : 4125 REED RD
Second Line :
City : FORT WAYNE
State : IN
Zip : 46815-4939
Country : US
Telephone Number : 260-467-0819
Fax Number : 602-651-1313
Authorized Official
Title or Position : OWNER/PRESIDENT
Name : EI EI KHIN OO
Credential :
Telephone Number : 260-467-0819
Provider Enumeration Date : 08/23/2024
Last Update Date : 08/23/2024

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Directions to “CHATEAU HOME CARE, INC. ” Practice Location

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