Provider Demographics
NPI:1134280670
Name:COMMUNITY HOME HEALTH, INC A CALIFORNIA CORPORATION
Entity Type:Organization
Organization Name:COMMUNITY HOME HEALTH, INC A CALIFORNIA CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:GRANT
Authorized Official - Suffix:
Authorized Official - Credentials:MSPT
Authorized Official - Phone:805-898-3444
Mailing Address - Street 1:PO BOX 30286
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93130-0286
Mailing Address - Country:US
Mailing Address - Phone:805-898-3444
Mailing Address - Fax:805-898-3765
Practice Address - Street 1:360 S HOPE AVE STE C200
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93105-4057
Practice Address - Country:US
Practice Address - Phone:805-898-3444
Practice Address - Fax:805-898-3765
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-12
Last Update Date:2011-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA050000126251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAHHA07751FMedicaid
CA057751OtherPTAN