Provider Demographics
NPI:1588657142
Name:COMMUNITY ALLIANCE OF HUMAN SERVICES
Entity Type:Organization
Organization Name:COMMUNITY ALLIANCE OF HUMAN SERVICES
Other - Org Name:TRUSTING HANDS HOME HEALTH CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:COONEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-863-7708
Mailing Address - Street 1:PO BOX 188
Mailing Address - Street 2:
Mailing Address - City:NEWPORT
Mailing Address - State:NH
Mailing Address - Zip Code:03773-0188
Mailing Address - Country:US
Mailing Address - Phone:603-863-1875
Mailing Address - Fax:603-863-9554
Practice Address - Street 1:27 JOHN STARK HWY
Practice Address - Street 2:
Practice Address - City:NEWPORT
Practice Address - State:NH
Practice Address - Zip Code:03773-1807
Practice Address - Country:US
Practice Address - Phone:603-863-1875
Practice Address - Fax:603-863-7708
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH03022251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30590762Medicaid
307083Medicare ID - Type Unspecified