Provider Demographics
NPI:1578692398
Name:COMMUNITY HEALTHKARE INC.
Entity Type:Organization
Organization Name:COMMUNITY HEALTHKARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGERIAL OFFICER
Authorized Official - Prefix:PROF
Authorized Official - First Name:KATHY
Authorized Official - Middle Name:T
Authorized Official - Last Name:VANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:651-292-8600
Mailing Address - Street 1:23 EMPIRE DR
Mailing Address - Street 2:SUITE #124
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55103-1856
Mailing Address - Country:US
Mailing Address - Phone:651-292-8600
Mailing Address - Fax:651-292-8601
Practice Address - Street 1:974 THOMAS AVE
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55104-2634
Practice Address - Country:US
Practice Address - Phone:651-603-1901
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-05
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health