Provider Demographics
NPI:1568424927
Name:COMMUNITY NURSE HOME CARE, INC
Entity Type:Organization
Organization Name:COMMUNITY NURSE HOME CARE, INC
Other - Org Name:COMMUNITY NURSE HOME CARE , INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:K
Authorized Official - Last Name:PARENT
Authorized Official - Suffix:
Authorized Official - Credentials:RN, BS, MS
Authorized Official - Phone:508-992-6278
Mailing Address - Street 1:62 CENTER ST
Mailing Address - Street 2:
Mailing Address - City:FAIRHAVEN
Mailing Address - State:MA
Mailing Address - Zip Code:02719-3823
Mailing Address - Country:US
Mailing Address - Phone:508-992-6278
Mailing Address - Fax:508-996-0781
Practice Address - Street 1:62 CENTER ST
Practice Address - Street 2:
Practice Address - City:FAIRHAVEN
Practice Address - State:MA
Practice Address - Zip Code:02719-3823
Practice Address - Country:US
Practice Address - Phone:508-992-6278
Practice Address - Fax:508-996-0781
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-03
Last Update Date:2021-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
0007801OtherNHP HOME HEALTH
MA0600148Medicaid
120027OtherBCBS HOME HEALTH
801130OtherTUFTS HOME HEALTH
701044OtherHCHP HOME CARE
=========OtherGIC HOME HEALTH
=========OtherAETNA HOME HEALTH
=========OtherAETNA HOME HEALTH