Provider Demographics
NPI:1861267932
Name:CHORAL HEALTHCARE SERVICES, INC.
Entity type:Organization
Organization Name:CHORAL HEALTHCARE SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:JUSTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:MBIANDA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-379-9111
Mailing Address - Street 1:13105 COLLINGWOOD TER
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20904-1417
Mailing Address - Country:US
Mailing Address - Phone:301-379-9111
Mailing Address - Fax:
Practice Address - Street 1:13105 COLLINGWOOD TER
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20904-1417
Practice Address - Country:US
Practice Address - Phone:301-379-9111
Practice Address - Fax:301-900-4599
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-20
Last Update Date:2023-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251J00000XAgenciesNursing CareGroup - Multi-Specialty
No163W00000XNursing Service ProvidersRegistered Nurse
No376K00000XNursing Service Related ProvidersNurse's AideGroup - Multi-Specialty