Provider Demographics
NPI:1851162440
Name:COMMUNITY HEALTH ALLIANCE LLC
Entity Type:Organization
Organization Name:COMMUNITY HEALTH ALLIANCE LLC
Other - Org Name:AMADA SENIOR CARE THE VILLAGES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CESAR
Authorized Official - Middle Name:ANDRES
Authorized Official - Last Name:PUMARIEGA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:352-360-9735
Mailing Address - Street 1:1321 CITIZENS BLVD STE C
Mailing Address - Street 2:
Mailing Address - City:LEESBURG
Mailing Address - State:FL
Mailing Address - Zip Code:34748-3946
Mailing Address - Country:US
Mailing Address - Phone:352-702-3727
Mailing Address - Fax:888-650-5089
Practice Address - Street 1:1321 CITIZENS BLVD STE C
Practice Address - Street 2:
Practice Address - City:LEESBURG
Practice Address - State:FL
Practice Address - Zip Code:34748-3946
Practice Address - Country:US
Practice Address - Phone:352-702-3727
Practice Address - Fax:888-650-5089
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-11
Last Update Date:2024-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health