Provider Demographics
NPI:1184828287
Name:COMMUNITY HOUSE CALLS, INC.
Entity Type:Organization
Organization Name:COMMUNITY HOUSE CALLS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RAYMOND
Authorized Official - Middle Name:VICTOR
Authorized Official - Last Name:MAILLOUX
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-887-7878
Mailing Address - Street 1:238 JENNIFER DR
Mailing Address - Street 2:
Mailing Address - City:CHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03036-4167
Mailing Address - Country:US
Mailing Address - Phone:603-887-7878
Mailing Address - Fax:603-887-7883
Practice Address - Street 1:238 JENNIFER DR
Practice Address - Street 2:
Practice Address - City:CHESTER
Practice Address - State:NH
Practice Address - Zip Code:03036-4167
Practice Address - Country:US
Practice Address - Phone:603-887-7878
Practice Address - Fax:603-887-7883
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171WH0202XOther Service ProvidersContractorHome ModificationsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30593428Medicaid