MEDICARE: CHORAL HEALTHCARE SERVICES, INC.

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	163W00000X	Registered Nurse
2	376K00000X	Nurse's Aide
3	251J00000X	Nursing Care Agency

General Provider Information

NPI Number	:	1861267932
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHORAL HEALTHCARE SERVICES, INC.

Provider Business Mailing Address
First Line	:	13105 COLLINGWOOD TER
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20904-1417
Country	:	US
Telephone Number	:	301-379-9111
Fax Number	:

Provider Business Practice Location Address
First Line	:	13105 COLLINGWOOD TER
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20904-1417
Country	:	US
Telephone Number	:	301-379-9111
Fax Number	:	301-900-4599

Authorized Official
Title or Position	:	CEO
Name	:	MS. JUSTINE MBIANDA
Credential	:
Telephone Number	:	301-379-9111

Provider Enumeration Date	:	11/20/2023
Last Update Date	:	11/20/2023

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