Provider Demographics
NPI:1629740634
Name:COMMUNITY HOME CARERS LLC
Entity Type:Organization
Organization Name:COMMUNITY HOME CARERS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/ALT ADMIN
Authorized Official - Prefix:
Authorized Official - First Name:HEROGER
Authorized Official - Middle Name:YONGYEH
Authorized Official - Last Name:KENGRAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:806-437-6188
Mailing Address - Street 1:6041 W INTERSTATE 40 APT E159
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79106-3367
Mailing Address - Country:US
Mailing Address - Phone:806-410-5441
Mailing Address - Fax:
Practice Address - Street 1:6041 W INTERSTATE 40 APT E159
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79106-3367
Practice Address - Country:US
Practice Address - Phone:806-410-5441
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-29
Last Update Date:2021-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253Z00000XAgenciesIn Home Supportive CareGroup - Multi-Specialty
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty