Provider Demographics
NPI:1619575024
Name:COMMUNITY HOME HEALTH SERVICES, INC
Entity Type:Organization
Organization Name:COMMUNITY HOME HEALTH SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:MR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:STEWART
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-621-4810
Mailing Address - Street 1:9894 E 121ST ST
Mailing Address - Street 2:
Mailing Address - City:FISHERS
Mailing Address - State:IN
Mailing Address - Zip Code:46037-4154
Mailing Address - Country:US
Mailing Address - Phone:317-621-4800
Mailing Address - Fax:317-621-4703
Practice Address - Street 1:1210A MEDICAL ARTS BLVD
Practice Address - Street 2:
Practice Address - City:ANDERSON
Practice Address - State:IN
Practice Address - Zip Code:46011-3435
Practice Address - Country:US
Practice Address - Phone:765-298-4116
Practice Address - Fax:765-298-4119
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-16
Last Update Date:2020-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies