Chalice Healthcare Services, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

067-R-1164 Issued in GA

Legal business name

CHALICE HEALTHCARE SERVICES, LLC

Practice address

2180 Satellite Blvd
Suite #400
Duluth, GA 30097-4028

Phone

(770) 239-1730

NPI assigned

Jun 3, 2013

Organization subpart

No

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

Authorized official

Name

Marlene John

Title

Administrator

Phone

(770) 239-1730

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1370217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370217600000",
    "number": "1831536671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2180 SATELLITE BLVD",
            "address_2": "SUITE #400",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300974028",
            "telephone_number": "770-239-1730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2180 SATELLITE BLVD",
            "address_2": "SUITE #400",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300974028",
            "telephone_number": "770-239-1730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHALICE HEALTHCARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-03",
        "last_updated": "2013-06-03",
        "status": "A",
        "authorized_official_last_name": "JOHN",
        "authorized_official_first_name": "MARLENE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "770-239-1730"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "GA",
            "license": "067-R-1164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Kalia Cha
• Susie Cha, O.D.
• Chadon Health Services Inc.
• Salimah Chagani
• Grace Qing Chai, M.D.
• Vanessa Chambers, LPC
• Cenir Chamblee
• Dianna Champ
• Crystal A Champion, PHYSICAL THERAPIST
• Elaine Yiting Chan, PHARMD

• Home Health Agency in Duluth, GA
• Providers in Duluth, GA by specialty
• Home Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2013; 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.