CHASKA'S OUTREACH CENTER NPI 1912364795

NPI Information

  • NPI: 1912364795
  • Provider Name: CHASKA'S OUTREACH CENTER
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Address: 111 OAK HOLLOW LN
    RED OAK, TX
    ZIP 75154
  • Phone: (469) 765-7633

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NPI Details

CHASKA'S OUTREACH CENTER is an assisted living facility in Red Oak, 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. CHASKA'S OUTREACH CENTER NPI is 1912364795. The provider is registered as an organization entity type.

The provider's business location address is:

111 OAK HOLLOW LN
RED OAK, TX
ZIP 75154-613
Phone: (469) 765-7633

The provider's authorized official is Shapale White .
The authorized official title is Owner and has the following contact phone number (469) 765-7633.

The enumeration date for this NPI number is 1/25/2016 and was last updated on 1/25/2016.

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
1310400000XAssisted Living FacilityTEXASYes

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: 11/21/2025

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