Provider Demographics
NPI:1861796443
Name:CHARTWELL HOSPICE CARE, INC.
Entity type:Organization
Organization Name:CHARTWELL HOSPICE CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:A
Authorized Official - Last Name:ALLEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:213-617-6805
Mailing Address - Street 1:767 N HILL ST
Mailing Address - Street 2:SUITE302
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90012-2343
Mailing Address - Country:US
Mailing Address - Phone:213-617-6805
Mailing Address - Fax:213-617-0974
Practice Address - Street 1:767 N HILL ST
Practice Address - Street 2:SUITE302
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90012-2343
Practice Address - Country:US
Practice Address - Phone:213-617-6805
Practice Address - Fax:213-617-0974
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-22
Last Update Date:2010-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based