Provider Demographics
NPI:1235335126
Name:COMMUNITY HOME HEALTH CARE INC.
Entity Type:Organization
Organization Name:COMMUNITY HOME HEALTH CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR, DIRECTOR OF NURSING
Authorized Official - Prefix:MRS
Authorized Official - First Name:CORAZON
Authorized Official - Middle Name:
Authorized Official - Last Name:MACENAS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:630-545-0183
Mailing Address - Street 1:999 N MAIN ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:GLEN ELLYN
Mailing Address - State:IL
Mailing Address - Zip Code:60137-3581
Mailing Address - Country:US
Mailing Address - Phone:630-545-0183
Mailing Address - Fax:630-545-0353
Practice Address - Street 1:999 N MAIN ST
Practice Address - Street 2:SUITE 200
Practice Address - City:GLEN ELLYN
Practice Address - State:IL
Practice Address - Zip Code:60137-3581
Practice Address - Country:US
Practice Address - Phone:630-545-0183
Practice Address - Fax:630-545-0353
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-26
Last Update Date:2007-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1010728251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health