Provider Demographics
NPI:1114338241
Name:COMMUNITY HOME & HEALTH SERVICES LLC
Entity Type:Organization
Organization Name:COMMUNITY HOME & HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BRUCE
Authorized Official - Middle Name:
Authorized Official - Last Name:FASEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:989-732-6374
Mailing Address - Street 1:657 CHESTNUT CT
Mailing Address - Street 2:
Mailing Address - City:GAYLORD
Mailing Address - State:MI
Mailing Address - Zip Code:49735-8094
Mailing Address - Country:US
Mailing Address - Phone:989-732-6374
Mailing Address - Fax:989-732-3205
Practice Address - Street 1:657 CHESTNUT CT
Practice Address - Street 2:
Practice Address - City:GAYLORD
Practice Address - State:MI
Practice Address - Zip Code:49735-8094
Practice Address - Country:US
Practice Address - Phone:989-732-6374
Practice Address - Fax:989-732-3205
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-12
Last Update Date:2014-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health