Provider Demographics
NPI:1821453705
Name:HOME HEALTHCARE HOSPICE AND COMMUNITY SERVICES
Entity Type:Organization
Organization Name:HOME HEALTHCARE HOSPICE AND COMMUNITY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:MORGAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-352-2253
Mailing Address - Street 1:312 MARBORO STREET
Mailing Address - Street 2:PO BOX 564
Mailing Address - City:KEENE
Mailing Address - State:NH
Mailing Address - Zip Code:03447
Mailing Address - Country:US
Mailing Address - Phone:603-352-2253
Mailing Address - Fax:603-358-3904
Practice Address - Street 1:312 MARBORO STREET
Practice Address - Street 2:
Practice Address - City:KEENE
Practice Address - State:NH
Practice Address - Zip Code:03447
Practice Address - Country:US
Practice Address - Phone:603-352-2253
Practice Address - Fax:603-358-3904
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-21
Last Update Date:2015-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH251E00000X - HOME HE251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH99591036Medicaid
NH80307046Medicaid
NH307046Medicare PIN