Provider Demographics
NPI:1639302474
Name:COMMUNITY HOMECARE, INC.
Entity type:Organization
Organization Name:COMMUNITY HOMECARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:JUDY
Authorized Official - Middle Name:M
Authorized Official - Last Name:SANCHEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:575-769-2243
Mailing Address - Street 1:1944 W 21ST ST
Mailing Address - Street 2:
Mailing Address - City:CLOVIS
Mailing Address - State:NM
Mailing Address - Zip Code:88101-4026
Mailing Address - Country:US
Mailing Address - Phone:575-769-2243
Mailing Address - Fax:575-762-6452
Practice Address - Street 1:1944 W 21ST ST
Practice Address - Street 2:
Practice Address - City:CLOVIS
Practice Address - State:NM
Practice Address - Zip Code:88101-4026
Practice Address - Country:US
Practice Address - Phone:575-769-2243
Practice Address - Fax:575-762-6452
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-27
Last Update Date:2009-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management