Provider Demographics
NPI:1710115464
Name:COMMUNITY HOME NURSING AND THERAPY SERVICES INC
Entity Type:Organization
Organization Name:COMMUNITY HOME NURSING AND THERAPY SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RAZA
Authorized Official - Middle Name:IMTIAZ
Authorized Official - Last Name:KHAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-701-1705
Mailing Address - Street 1:850 WALNUT BOTTOM RD STE 305B
Mailing Address - Street 2:
Mailing Address - City:CARLISLE
Mailing Address - State:PA
Mailing Address - Zip Code:17013-3615
Mailing Address - Country:US
Mailing Address - Phone:717-632-2600
Mailing Address - Fax:717-630-0020
Practice Address - Street 1:850 WALNUT BOTTOM RD STE 305B
Practice Address - Street 2:
Practice Address - City:CARLISLE
Practice Address - State:PA
Practice Address - Zip Code:17013-3615
Practice Address - Country:US
Practice Address - Phone:717-632-2600
Practice Address - Fax:717-630-0020
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-01
Last Update Date:2021-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA398120Medicare Oscar/Certification