Provider Demographics
NPI:1891787149
Name:COMMUNITY HOME SERVICE
Entity Type:Organization
Organization Name:COMMUNITY HOME SERVICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER OF BILLING
Authorized Official - Prefix:MRS
Authorized Official - First Name:CATHY
Authorized Official - Middle Name:J
Authorized Official - Last Name:LEGGETT
Authorized Official - Suffix:
Authorized Official - Credentials:BILLING MGR
Authorized Official - Phone:239-513-7144
Mailing Address - Street 1:PO BOX 8569
Mailing Address - Street 2:350 7TH ST NORTH
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34101-8569
Mailing Address - Country:US
Mailing Address - Phone:239-513-7144
Mailing Address - Fax:239-513-7049
Practice Address - Street 1:350 7TH ST N
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34102-5754
Practice Address - Country:US
Practice Address - Phone:239-513-7144
Practice Address - Fax:239-513-7049
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-22
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies