NPIMap

Organization Active NPI

Chaska's Outreach Center

  • Assisted Living Facility
  • Red Oak, TX
National Provider Identifier
1912364795
Registry record updated Jan 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
CHASKA'S OUTREACH CENTER
Practice address
111 Oak Hollow LN
Red Oak, TX 75154-4613
Phone
(469) 765-7633
NPI assigned
Jan 25, 2016
Last updated
Jan 25, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2016

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

Authorized official

Name
Shapale WhiteNPI 1356717722
Title
Owner
Phone
(469) 765-7633

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X TX Primary

Addresses

Primary practice location

111 Oak Hollow LN
Red Oak, TX 75154-4613

Mailing address

111 Oak Hollow LN
Red Oak, TX 75154-4613
Phone (469) 765-7633

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1453680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453680000000",
    "number": "1912364795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 OAK HOLLOW LN",
            "city": "RED OAK",
            "state": "TX",
            "postal_code": "751544613",
            "telephone_number": "469-765-7633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 OAK HOLLOW LN",
            "city": "RED OAK",
            "state": "TX",
            "postal_code": "751544613",
            "telephone_number": "469-765-7633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHASKA'S OUTREACH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-25",
        "last_updated": "2016-01-25",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "SHAPALE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-765-7633"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Red Oak, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2016; 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.