Provider Demographics
NPI:1912543901
Name:COMMUNITY HOME CARE OF OH
Entity Type:Organization
Organization Name:COMMUNITY HOME CARE OF OH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BRADLEY
Authorized Official - Middle Name:J
Authorized Official - Last Name:CONTO
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:740-359-4168
Mailing Address - Street 1:60 N CANFIELD NILES RD STE 400
Mailing Address - Street 2:
Mailing Address - City:AUSTINTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44515-2340
Mailing Address - Country:US
Mailing Address - Phone:740-359-4168
Mailing Address - Fax:
Practice Address - Street 1:60 N CANFIELD NILES RD STE 400
Practice Address - Street 2:
Practice Address - City:AUSTINTOWN
Practice Address - State:OH
Practice Address - Zip Code:44515-2340
Practice Address - Country:US
Practice Address - Phone:740-359-4168
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-25
Last Update Date:2019-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care