Provider Demographics
NPI:1629079892
Name:COMMUNITY HOME HEALTH CARE, INC.
Entity Type:Organization
Organization Name:COMMUNITY HOME HEALTH CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:
Authorized Official - Last Name:MURPHY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-395-3778
Mailing Address - Street 1:15565 NORTHLAND DR
Mailing Address - Street 2:STE #403E
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48075
Mailing Address - Country:US
Mailing Address - Phone:248-395-3778
Mailing Address - Fax:248-395-0469
Practice Address - Street 1:15565 NORTHLAND DR
Practice Address - Street 2:STE #403E
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48075
Practice Address - Country:US
Practice Address - Phone:248-395-3778
Practice Address - Fax:248-395-0469
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-10
Last Update Date:2017-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI237498Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER