Provider Demographics
NPI:1215190475
Name:COMMUNITY FIRST HOMECARE LLC
Entity Type:Organization
Organization Name:COMMUNITY FIRST HOMECARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JONATHAN
Authorized Official - Middle Name:S
Authorized Official - Last Name:SHAMMAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:810-360-0574
Mailing Address - Street 1:5777 W MAPLE RD STE 176
Mailing Address - Street 2:
Mailing Address - City:WEST BLOOMFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48322-4448
Mailing Address - Country:US
Mailing Address - Phone:248-970-2111
Mailing Address - Fax:810-588-4556
Practice Address - Street 1:5777 W MAPLE RD STE 176
Practice Address - Street 2:
Practice Address - City:WEST BLOOMFIELD
Practice Address - State:MI
Practice Address - Zip Code:48322-4448
Practice Address - Country:US
Practice Address - Phone:248-970-2111
Practice Address - Fax:810-588-4556
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-08
Last Update Date:2020-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health