Provider Demographics
NPI:1912186131
Name:COMMUNITY HEALTHCARE SOLUTIONS, L.L.C
Entity Type:Organization
Organization Name:COMMUNITY HEALTHCARE SOLUTIONS, L.L.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:YOLANDA
Authorized Official - Middle Name:FAYE
Authorized Official - Last Name:BURNOM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-221-0236
Mailing Address - Street 1:2500 CENTENARY BLVD UNIT 11
Mailing Address - Street 2:
Mailing Address - City:SHREVEPORT
Mailing Address - State:LA
Mailing Address - Zip Code:71104-2469
Mailing Address - Country:US
Mailing Address - Phone:318-221-0236
Mailing Address - Fax:
Practice Address - Street 1:2500 CENTENARY BLVD UNIT 11
Practice Address - Street 2:
Practice Address - City:SHREVEPORT
Practice Address - State:LA
Practice Address - Zip Code:71104-2469
Practice Address - Country:US
Practice Address - Phone:318-221-0236
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-25
Last Update Date:2007-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No311Z00000XNursing & Custodial Care FacilitiesCustodial Care Facility
No320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness
No324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No385H00000XRespite Care FacilityRespite Care