Provider Demographics
NPI:1972492445
Name:HOME CARE COMMUNITY SERVICES LLC
Entity type:Organization
Organization Name:HOME CARE COMMUNITY SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:KHALID
Authorized Official - Middle Name:HAMAD HILAL
Authorized Official - Last Name:ALHACHAMI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-513-0481
Mailing Address - Street 1:904 W MILLRACE PARK LN
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84123-4543
Mailing Address - Country:US
Mailing Address - Phone:207-513-0481
Mailing Address - Fax:
Practice Address - Street 1:904 W MILLRACE PARK LN
Practice Address - Street 2:
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84123-4543
Practice Address - Country:US
Practice Address - Phone:207-513-0481
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-30
Last Update Date:2025-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care