Provider Demographics
NPI:1346255296
Name:COMMUNITY NURSING AND HOME HEALTH, INC.
Entity Type:Organization
Organization Name:COMMUNITY NURSING AND HOME HEALTH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:THELMA
Authorized Official - Middle Name:
Authorized Official - Last Name:DIBBLE
Authorized Official - Suffix:
Authorized Official - Credentials:RN, BSN
Authorized Official - Phone:814-534-4450
Mailing Address - Street 1:2447 BEDFORD ST
Mailing Address - Street 2:SUITE101
Mailing Address - City:JOHNSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15904-1405
Mailing Address - Country:US
Mailing Address - Phone:814-534-4450
Mailing Address - Fax:814-534-4455
Practice Address - Street 1:2447 BEDFORD ST
Practice Address - Street 2:SUITE101
Practice Address - City:JOHNSTOWN
Practice Address - State:PA
Practice Address - Zip Code:15904-1405
Practice Address - Country:US
Practice Address - Phone:814-534-4450
Practice Address - Fax:814-534-4455
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-29
Last Update Date:2011-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA02650501251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1015176010001Medicaid
PA0445OtherBLUE CROSS OF WESTERN PA
PA1015176010001Medicaid
PA398043Medicare Oscar/Certification