MEDICARE: COMMUNITY HOME HEALTHCARE INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1538384193
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMMUNITY HOME HEALTHCARE INC

Provider Business Mailing Address
First Line	:	7220 ROSEMEAD BLVD
Second Line	:	SUITE #210
City	:	SAN GABRIEL
State	:	CA
Zip	:	91775-1377
Country	:	US
Telephone Number	:	626-287-7373
Fax Number	:	626-287-7044

Provider Business Practice Location Address
First Line	:	7220 ROSEMEAD BLVD
Second Line	:	SUITE #210
City	:	SAN GABRIEL
State	:	CA
Zip	:	91775-1377
Country	:	US
Telephone Number	:	626-287-7373
Fax Number	:	626-287-7044

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MS. KRISTIN VARIKIAN
Credential	:	RN
Telephone Number	:	626-287-7373

Provider Enumeration Date	:	04/17/2007
Last Update Date	:	08/02/2007

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