Provider Demographics
NPI:1952699068
Name:COMMUNITY HOME HEALTHCARE SERVICES LLC
Entity Type:Organization
Organization Name:COMMUNITY HOME HEALTHCARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MUHAMMAD
Authorized Official - Middle Name:SHARIQ
Authorized Official - Last Name:FARUQI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-377-4638
Mailing Address - Street 1:5217 MONROE ST
Mailing Address - Street 2:SUITE B2
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43623-4601
Mailing Address - Country:US
Mailing Address - Phone:419-843-8483
Mailing Address - Fax:419-843-3973
Practice Address - Street 1:5217 MONROE ST
Practice Address - Street 2:SUITE B2
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43623-4601
Practice Address - Country:US
Practice Address - Phone:419-843-8483
Practice Address - Fax:419-843-3973
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-11
Last Update Date:2013-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH368461Medicare Oscar/Certification