Organization Active NPI

CHLF Enterprises, Inc

  • In Home Supportive Care Agency
  • Roswell, GA
National Provider Identifier
1619252558
Registry record updated Oct 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
060-R-0436 Issued in GA
Legal business name
CHLF ENTERPRISES, INC
Practice address
500 Sun Valley Dr Ste B4
Roswell, GA 30076-5634
Phone
(770) 573-7817
Fax
(866) 326-1544
NPI assigned
Oct 11, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2011

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

Authorized official

Name
Mrs. Tracy Chastain
Title
Owner
Phone
(770) 573-7817

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 060-R-0436 GA Primary

Addresses

Primary practice location

500 Sun Valley Dr Ste B4
Roswell, GA 30076-5634

Mailing address

500 Sun Valley Dr Ste B4
Roswell, GA 30076-5634
Phone (770) 573-7817

Other names 1

  • Visiting Angels of Roswell Doing business as

National Provider Directory

National Provider Directory

Locations

500 Sun Valley Dr
Ste B4
Roswell, GA 30076
Phone (470) 299-8657

NPI Registry JSON

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

{
    "created_epoch": "1318291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318291200000",
    "number": "1619252558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 SUN VALLEY DR STE B4",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300765634",
            "telephone_number": "770-573-7817",
            "fax_number": "866-326-1544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 SUN VALLEY DR STE B4",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300765634",
            "telephone_number": "770-573-7817",
            "fax_number": "866-326-1544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHLF ENTERPRISES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-11",
        "last_updated": "2011-10-11",
        "status": "A",
        "authorized_official_last_name": "CHASTAIN",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-573-7817",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "GA",
            "license": "060-R-0436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Visiting Angels of Roswell",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Roswell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.