Organization Active NPI

Chartwell Community Service, Inc

Doing business as Jordan Health Service, a Part of the Elara Caring Network

  • Home Health Agency
  • Jasper, TX
National Provider Identifier
1659583441
Registry record updated Jan 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
011269 Issued in TX
Legal business name
CHARTWELL COMMUNITY SERVICE, INC
Doing business as
Jordan Health Service, a Part of the Elara Caring Network
Practice address
714 West Gipson
Suite 10
Jasper, TX 77506-4960
Phone
(409) 384-6577
Fax
(409) 384-6569
NPI assigned
May 4, 2007
Last updated
Jan 4, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2019

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

Authorized official

Name
Debra Miller
Title
Vice President of Regulatory
Phone
(800) 234-1866

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 011269 TX Primary

Addresses

Primary practice location

714 West Gipson
Suite 10
Jasper, TX 77506-4960

Mailing address

714 West Gipson
Suite 10
Jasper, TX 77506-4960
Phone (409) 384-6577

Other identifiers 2

IdentifierTypeStateIssuer
23380695OtherTXAPS
032808JASOtherTXAAA

Other names 1

  • Jordan Health Service, a Part of the Elara Caring Network Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Chartwell Community Services Inc35 organizations share this tax ID, including this one

Other organizations with this tax ID 34

Organizations that report the same tax identification number in the National Provider Directory.

View all 34

NPI Registry JSON

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546560000000",
    "number": "1659583441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 WEST GIPSON",
            "address_2": "SUITE 10",
            "city": "JASPER",
            "state": "TX",
            "postal_code": "775064960",
            "telephone_number": "409-384-6577",
            "fax_number": "409-384-6569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 WEST GIPSON",
            "address_2": "SUITE 10",
            "city": "JASPER",
            "state": "TX",
            "postal_code": "775064960",
            "telephone_number": "409-384-6577",
            "fax_number": "409-384-6569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARTWELL COMMUNITY SERVICE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2019-01-04",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "VICE PRESIDENT OF REGULATORY",
        "authorized_official_telephone_number": "800-234-1866"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "011269",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APS",
            "identifier": "23380695",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AAA",
            "identifier": "032808JAS",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jordan Health Service, a Part of the Elara Caring Network",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jasper, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2019; 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.