Chavez Personal Care Home

LBN: Chavez Personal Care Home
Chavez Personal Care Home is an health care organization with primary practice located at 4605 Memorial Dr , Waco TX 76711-1360. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. Chavez Personal Care Home can be contacted via phone (510) 828-0828, or through Chavez, Mary A via phone (510) 828-0828.

Contact Information

Primary practice address
4605 Memorial Dr Waco TX 76711-1360
Phone: (510) 828-0828
Fax: (254) 946-0900
Website:
Map and Directions
Authorized official contact:
Name: Chavez, Mary A
Phone: (510) 828-0828

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X 124013 Texas

Profile Details

NPI number 1750537569
LBN Legal business name Chavez Personal Care Home
DBA Doing business as
Authorized official Chavez, Mary A
Entity Organization
Organization subpart 1 No
Enumeration date Aug 12th, 2008
Last updated Aug 12th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750537569 NPPES
Texas MEDICAID 1016253

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