Provider Demographics
NPI:1700231305
Name:COMMUNITY HOME HEALTH CARE
Entity Type:Organization
Organization Name:COMMUNITY HOME HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MISS
Authorized Official - First Name:NOORA
Authorized Official - Middle Name:ALI
Authorized Official - Last Name:ABD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-482-9113
Mailing Address - Street 1:184 MAIN ST STE 2D
Mailing Address - Street 2:
Mailing Address - City:SOUTH PORTLAND
Mailing Address - State:ME
Mailing Address - Zip Code:04106-2605
Mailing Address - Country:US
Mailing Address - Phone:207-767-3873
Mailing Address - Fax:
Practice Address - Street 1:184 MAIN ST STE 2D
Practice Address - Street 2:
Practice Address - City:SOUTH PORTLAND
Practice Address - State:ME
Practice Address - Zip Code:04106-2605
Practice Address - Country:US
Practice Address - Phone:207-767-3873
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-02
Last Update Date:2023-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care