Chartres, Inc.

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

Legal business name

CHARTRES, INC.

Doing business as

Brazos Therapy Center

Practice address

605 Towne Oaks Dr
Waco, TX 76710-5965

Phone

(254) 235-7604

Fax

(254) 235-7612

NPI assigned

Oct 21, 2014

Last updated

Oct 21, 2014By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Douglas R. Mehling

Title

Chairman

Phone

(903) 525-3913

Specialties & licenses 1

Addresses

Other names 1

• BRAZOS THERAPY CENTER Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1164826046. Details of each certification follow.

• CCN 676699 Outpatient physical therapy / speech pathology · Active · Name & address match · Details

Outpatient physical therapy / speech pathology certification: CCN 676699

Legal name

BRAZOS THERAPY CENTER

Certification status

Active

Provider type (POS)

Outpatient physical therapy / speech pathology

Participating since

Jan 25, 2013

Last certification

Jan 25, 2013

Ownership / control type

Proprietary

Facility address

605 Towne Oaks Drive
Waco, TX 76710

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1413849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413849600000",
    "number": "1164826046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9846 HIGHWAY 31 E",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757052329",
            "telephone_number": "903-525-3913",
            "fax_number": "903-525-3867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 TOWNE OAKS DR",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767105965",
            "telephone_number": "254-235-7604",
            "fax_number": "254-235-7612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARTRES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-21",
        "last_updated": "2014-10-21",
        "status": "A",
        "authorized_official_last_name": "MEHLING",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "CHAIRMAN",
        "authorized_official_telephone_number": "903-525-3913",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BRAZOS THERAPY CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cherell Angela Chappell, APRN, CNM
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• Mercedes V. Charles
• Charleston Waco Operations LLC (Woodland Springs Nursing Center)
• Brittany Toni Charlot, BCBA
• Ana Chatham, LCSW
• Chavez Personal Care Home
• Jaime A Chavez, BT
• Melissa Lynette Chavez, SLP-ASSISTANT
• Sabrina Louise Chavez, D.D.S.

• Rehabilitation Clinic/Center in Waco, TX
• Providers in Waco, TX by specialty
• Rehabilitation Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.