Provider Demographics
NPI:1003926551
Name:CH HOME CARE, LTD
Entity Type:Organization
Organization Name:CH HOME CARE, LTD
Other - Org Name:TO YOUR HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO RESP TEC
Authorized Official - Prefix:MR
Authorized Official - First Name:DALE
Authorized Official - Middle Name:E
Authorized Official - Last Name:CARLSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:716-373-6666
Mailing Address - Street 1:213 N UNION ST
Mailing Address - Street 2:
Mailing Address - City:OLEAN
Mailing Address - State:NY
Mailing Address - Zip Code:14760-2705
Mailing Address - Country:US
Mailing Address - Phone:716-373-6666
Mailing Address - Fax:716-373-6671
Practice Address - Street 1:213 N UNION ST
Practice Address - Street 2:
Practice Address - City:OLEAN
Practice Address - State:NY
Practice Address - Zip Code:14760-2705
Practice Address - Country:US
Practice Address - Phone:716-373-6666
Practice Address - Fax:716-373-6671
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY000551015001OtherBCBS
NY00621581Medicaid
NY000551015001OtherBCBS