Provider Demographics
NPI:1083969505
Name:COMMUNITY CARE HOME HEALTH
Entity Type:Organization
Organization Name:COMMUNITY CARE HOME HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MARGARET
Authorized Official - Middle Name:
Authorized Official - Last Name:COLLINS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:410-665-8931
Mailing Address - Street 1:8108 HARFORD RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21234-9201
Mailing Address - Country:US
Mailing Address - Phone:410-665-7566
Mailing Address - Fax:410-665-7558
Practice Address - Street 1:8108 HARFORD RD
Practice Address - Street 2:SUITE B
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21234-9201
Practice Address - Country:US
Practice Address - Phone:410-665-7566
Practice Address - Fax:410-665-7558
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-20
Last Update Date:2012-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDMDCCCHH251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health