Provider Demographics
NPI:1477310704
Name:CENTER HOME HEALTHCARE, INC
Entity Type:Organization
Organization Name:CENTER HOME HEALTHCARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PHILLIPS
Authorized Official - Middle Name:PENGXUE
Authorized Official - Last Name:LOHR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:651-571-6498
Mailing Address - Street 1:2675 LEGION AVE N
Mailing Address - Street 2:
Mailing Address - City:LAKE ELMO
Mailing Address - State:MN
Mailing Address - Zip Code:55042-9639
Mailing Address - Country:US
Mailing Address - Phone:651-571-6498
Mailing Address - Fax:
Practice Address - Street 1:391 MARYLAND AVE E STE A
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55130-3623
Practice Address - Country:US
Practice Address - Phone:651-571-6498
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-04
Last Update Date:2024-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health