Provider Demographics
NPI:1659018174
Name:CH HOMECARE AGENCY LLC
Entity Type:Organization
Organization Name:CH HOMECARE AGENCY LLC
Other - Org Name:CHRISTINE HENRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:HENRY
Authorized Official - Suffix:
Authorized Official - Credentials:OWNER
Authorized Official - Phone:203-887-0258
Mailing Address - Street 1:303 DYER ST
Mailing Address - Street 2:
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06515-1333
Mailing Address - Country:US
Mailing Address - Phone:203-887-0258
Mailing Address - Fax:
Practice Address - Street 1:303 DYER ST
Practice Address - Street 2:
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06515-1333
Practice Address - Country:US
Practice Address - Phone:203-887-0258
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-16
Last Update Date:2024-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health