Provider Demographics
NPI:1477880979
Name:COMMUNITY HOME HEALTHCARE, LLC
Entity Type:Organization
Organization Name:COMMUNITY HOME HEALTHCARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:CHESTER
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:LARRICK
Authorized Official - Suffix:
Authorized Official - Credentials:LPCC-S
Authorized Official - Phone:740-685-1610
Mailing Address - Street 1:108 PALMETTO PL
Mailing Address - Street 2:
Mailing Address - City:BYESVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43723-9602
Mailing Address - Country:US
Mailing Address - Phone:740-685-1610
Mailing Address - Fax:
Practice Address - Street 1:108 PALMETTO PL
Practice Address - Street 2:
Practice Address - City:BYESVILLE
Practice Address - State:OH
Practice Address - Zip Code:43723-9602
Practice Address - Country:US
Practice Address - Phone:740-685-1610
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-05
Last Update Date:2009-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE-0001153253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care