Chancellor Health Care, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

366406351 Issued in CA

Legal business name

CHANCELLOR HEALTH CARE, LLC

Practice address

6500 Butterfield Ranch Rd
Chino Hills, CA 91709-6379

Phone

(909) 606-2553

Fax

(909) 606-2744

NPI assigned

Dec 24, 2009

Organization subpart

No

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

Authorized official

Name

Marsha Gormley, R.N.

Title

Administrator

Phone

(909) 606-2553

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1261612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261612800000",
    "number": "1740510676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6500 BUTTERFIELD RANCH RD",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917096379",
            "telephone_number": "909-606-2553",
            "fax_number": "909-606-2744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 BUTTERFIELD RANCH RD",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917096379",
            "telephone_number": "909-606-2553",
            "fax_number": "909-606-2744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANCELLOR HEALTH CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-24",
        "last_updated": "2009-12-24",
        "status": "A",
        "authorized_official_last_name": "GORMLEY",
        "authorized_official_first_name": "MARSHA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "909-606-2553",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": "366406351",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE TAX ID",
            "identifier": "4725861",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie A Chamani, PA-C
• Champions Services Incorporated
• Margaret Champoux
• Hui Ling Chan
• Patricia Chan, M.S.W., LCSW
• Chancellor Place of Chino Hills
• Jeffrey Joseph Chang, PHARMD
• Sue Y Chang, NP
• Suk-Ho Chang
• Michelle Yuan Chao

• Assisted Living Facility in Chino Hills, CA
• Providers in Chino Hills, CA by specialty
• Assisted Living Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2009; 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.