Provider Demographics
NPI:1083147995
Name:COMMUNITY HOME HEALTH CARE, INC.
Entity Type:Organization
Organization Name:COMMUNITY HOME HEALTH CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE-PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TARA
Authorized Official - Middle Name:
Authorized Official - Last Name:BOGGS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:740-532-1273
Mailing Address - Street 1:419 VERNON ST
Mailing Address - Street 2:
Mailing Address - City:IRONTON
Mailing Address - State:OH
Mailing Address - Zip Code:45638-1637
Mailing Address - Country:US
Mailing Address - Phone:740-532-1273
Mailing Address - Fax:740-532-3095
Practice Address - Street 1:2301 S 3RD ST
Practice Address - Street 2:
Practice Address - City:IRONTON
Practice Address - State:OH
Practice Address - Zip Code:45638-2552
Practice Address - Country:US
Practice Address - Phone:740-532-1273
Practice Address - Fax:740-532-3095
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-07
Last Update Date:2024-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2853550Medicaid
OH369137Medicare Oscar/Certification