CCN: 748094 NPI: 1649860438 Organization

Chelsea Gardens at Home LLC

4422 RIVERSTONE BLVD RM 408
MISSOURI CITY, TX 774597150

Contact Information

Phone 3462683260
Fax 2814995107
Enumeration Date 2021-01-25
Last Updated 2021-01-25

Taxonomies

Code: 251E00000X (Primary)

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 7

cbsaActualGeographicLocation 26420

providerType 36

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 26420

providerType 36

specialPaymentIndicator

carrierCode 04412

localityCode 99