Provider Demographics
NPI:1174331763
Name:CAVE, CHANTEL
Entity type:Individual
Prefix:
First Name:CHANTEL
Middle Name:
Last Name:CAVE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:920 WARFIELD WAY
Mailing Address - Street 2:
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75080-4041
Mailing Address - Country:US
Mailing Address - Phone:972-639-6908
Mailing Address - Fax:
Practice Address - Street 1:76215 ROAD 336
Practice Address - Street 2:
Practice Address - City:MADRID
Practice Address - State:NE
Practice Address - Zip Code:69150-4102
Practice Address - Country:US
Practice Address - Phone:308-326-4495
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-28
Last Update Date:2024-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
No172A00000XOther Service ProvidersDriver
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant