Provider Demographics
NPI:1225418338
Name:COMMUNITY HEALTH CONSULTING, LLC
Entity Type:Organization
Organization Name:COMMUNITY HEALTH CONSULTING, LLC
Other - Org Name:HAVEN HOME HEALTH CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:RUARK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:734-560-8953
Mailing Address - Street 1:1959 E EDGEWOOD DR STE 102
Mailing Address - Street 2:
Mailing Address - City:LAKELAND
Mailing Address - State:FL
Mailing Address - Zip Code:33803-3423
Mailing Address - Country:US
Mailing Address - Phone:844-428-3644
Mailing Address - Fax:954-337-3112
Practice Address - Street 1:1959 E EDGEWOOD DR STE 102
Practice Address - Street 2:
Practice Address - City:LAKELAND
Practice Address - State:FL
Practice Address - Zip Code:33803-3423
Practice Address - Country:US
Practice Address - Phone:844-428-3644
Practice Address - Fax:954-337-3112
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-03
Last Update Date:2015-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health