Active NPIIndividual providerSole proprietor

Jacqueline L Chace, COTA

Skilled Nursing Facility in Palm Springs, California

NPI Number1376096487
Practice location
470 N Villa CT, #206, Palm Springs, CA 92262-0669
Fax
—
Last updated
July 26, 2016

Jacqueline Lee Chace is a Skilled Nursing Facility based in Palm Springs, CA. Jacqueline Lee Chace practices in Palm Springs, CA and has the professional credentials of COTA. The NPI Number for Jacqueline Lee Chace is 1376096487 and holds a License No. 3512 (CA). The current practice location address for Jacqueline Lee Chace is 470 N Villa CT, #206, Palm Springs, CA 92262-0669 and can be reached out via phone at 401-368-2588.

Provider Profile Details

NPI Number
1376096487
Provider Name
Jacqueline Lee Chace
Credential
COTA
Provider Entity Type
Individual
Gender
Female
Address
470 N Villa CT, #206, Palm Springs, CA 92262-0669
Phone Number
401-368-2588
Primary Taxonomy
Skilled Nursing Facility · 314000000X
Sole Proprietor
Yes
Other Names
-- Jacqueline Lee Jahnke (Former Name)
Provider Enumeration Date
July 26, 2016
Last Update Date
July 26, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
470 N Villa CT
#206
Palm Springs, CA 92262-0669
Zip
92262-0669
Phone Number
401-368-2588
Palm Springs, CA 92262Get directions →

Provider Business Mailing Address Details

Address
10 Fenner St
Cranston, RI 02910
City
Cranston
State
RI
Zip
02910
Phone Number
401-368-2588

License Information

License Number
3512
License State
CA
Taxonomy
Skilled Nursing Facility · 314000000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jacqueline L Chace, COTA?

The NPI number of Jacqueline L Chace, COTA is 1376096487. It was assigned on July 26, 2016 and is currently active in the NPPES registry.

What is the specialty of Jacqueline L Chace, COTA?

Jacqueline L Chace, COTA is registered under the primary taxonomy Skilled Nursing Facility (code 314000000X), licensed in CA under license number 3512.

Where does Jacqueline L Chace, COTA practice?

The practice location is 470 N Villa CT, #206, Palm Springs, CA 92262-0669. The office can be reached at 401-368-2588 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1376096487 directly on the NPPES registry website.

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