Provider Demographics
NPI:1265491567
Name:COMMUNITY NURSES HOME HEALTH AND HOSPICE, INC.
Entity Type:Organization
Organization Name:COMMUNITY NURSES HOME HEALTH AND HOSPICE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MRS
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:CATALANO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:814-781-4720
Mailing Address - Street 1:757 JOHNSONBURG ROAD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:ST MARYS
Mailing Address - State:PA
Mailing Address - Zip Code:15857-3497
Mailing Address - Country:US
Mailing Address - Phone:814-781-1415
Mailing Address - Fax:814-781-6987
Practice Address - Street 1:757 JOHNSONBURG ROAD
Practice Address - Street 2:SUITE 200
Practice Address - City:ST MARYS
Practice Address - State:PA
Practice Address - Zip Code:15857-3497
Practice Address - Country:US
Practice Address - Phone:814-781-1415
Practice Address - Fax:814-781-6987
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-23
Last Update Date:2015-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA156299251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1005OtherBLUE CROSS HOSPICE
PA1000066150008Medicaid
PA391562Medicare ID - Type Unspecified
PA1000066150008Medicaid