CHAVEZ PERSONAL CARE HOME NPI 1750537569

NPI Information

NPI: 1750537569
Provider Name: CHAVEZ PERSONAL CARE HOME
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
4605 MEMORIAL DR
WACO, TX
ZIP 76711
Phone: (510) 828-0828
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CHAVEZ PERSONAL CARE HOME is an assisted living facility in Waco, TX. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. CHAVEZ PERSONAL CARE HOME NPI is 1750537569. The provider is registered as an organization entity type.

The provider's business location address is:

4605 MEMORIAL DR
WACO, TX
ZIP 76711-360
Phone: (510) 828-0828
Fax: (254) 946-0900

The provider's authorized official is Mary A Chavez .
The authorized official title is Owner and has the following contact phone number (510) 828-0828.

The enumeration date for this NPI number is 8/12/2008 and was last updated on 8/12/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	310400000X	Assisted Living Facility		124013	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1016253	MEDICAID	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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