Provider Demographics
NPI:1649594763
Name:COMMUNITY ALLIANCE HOME HEALTH
Entity Type:Organization
Organization Name:COMMUNITY ALLIANCE HOME HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CONTROLLER
Authorized Official - Prefix:MR
Authorized Official - First Name:RAMESH
Authorized Official - Middle Name:
Authorized Official - Last Name:SAVLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-933-7410
Mailing Address - Street 1:1 MERCHANTS PLZ
Mailing Address - Street 2:SUITE 202
Mailing Address - City:OSWEGO
Mailing Address - State:IL
Mailing Address - Zip Code:60543-9453
Mailing Address - Country:US
Mailing Address - Phone:630-933-7851
Mailing Address - Fax:630-933-7852
Practice Address - Street 1:1 MERCHANTS PLZ
Practice Address - Street 2:SUITE 202
Practice Address - City:OSWEGO
Practice Address - State:IL
Practice Address - Zip Code:60543-9453
Practice Address - Country:US
Practice Address - Phone:630-933-7851
Practice Address - Fax:630-933-7852
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-18
Last Update Date:2010-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251F00000XAgenciesHome Infusion
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL=========001Medicaid