Provider Demographics
NPI:1962681338
Name:COMMONWEALTH HOME HEALTH CARE, INC.
Entity Type:Organization
Organization Name:COMMONWEALTH HOME HEALTH CARE, INC.
Other - Org Name:COMMONWEALTH HOME HEALTH CARE, INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ACCOUNTS RECEIVABLE SUPERVISOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:C
Authorized Official - Last Name:OLENICK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:434-797-2332
Mailing Address - Street 1:479 PINEY FOREST RD
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:24540-4044
Mailing Address - Country:US
Mailing Address - Phone:434-797-2332
Mailing Address - Fax:434-799-4114
Practice Address - Street 1:1900 APPERSON DR
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:VA
Practice Address - Zip Code:24153-7211
Practice Address - Country:US
Practice Address - Phone:540-380-3383
Practice Address - Fax:540-380-3393
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-01
Last Update Date:2020-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0216000055332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0223050003Medicare NSC