Basic Information
| Provider Information | |||||||||
| NPI: | 1619575024 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | COMMUNITY HOME HEALTH SERVICES, INC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 9894 E 121ST ST | ||||||||
| Address2: | |||||||||
| City: | FISHERS | ||||||||
| State: | IN | ||||||||
| PostalCode: | 460374154 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3176214800 | ||||||||
| FaxNumber: | 3176214703 | ||||||||
| Practice Location | |||||||||
| Address1: | 1210A MEDICAL ARTS BLVD | ||||||||
| Address2: | |||||||||
| City: | ANDERSON | ||||||||
| State: | IN | ||||||||
| PostalCode: | 460113435 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7652984116 | ||||||||
| FaxNumber: | 7652984119 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/16/2020 | ||||||||
| LastUpdateDate: | 10/16/2020 | ||||||||
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| AuthorizedOfficialLastName: | STEWART | ||||||||
| AuthorizedOfficialFirstName: | KEVIN | ||||||||
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| AuthorizedOfficialTitleorPosition: | COO | ||||||||
| AuthorizedOfficialTelephone: | 3176214810 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MR. | ||||||||
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| NPICertificationDate: | 10/16/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 332B00000X | Y | Suppliers | Durable Medical Equipment & Medical Supplies |
No ID Information.