MEDICARE: COMMUNITY HEALTH AIDE SERVICES, 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

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1760867881
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMMUNITY HEALTH AIDE SERVICES, INC.

Provider Business Mailing Address
First Line	:	1 HILLCREST CTR STE 210
Second Line	:
City	:	SPRING VALLEY
State	:	NY
Zip	:	10977-3744
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1 HILLCREST CTR STE 210
Second Line	:
City	:	SPRING VALLEY
State	:	NY
Zip	:	10977-3744
Country	:	US
Telephone Number	:	845-425-6555
Fax Number	:

Authorized Official
Title or Position	:	ADMINSTRATOR
Name	:	MR. CHAIM LIEBERMAN
Credential	:
Telephone Number	:	845-738-1841

Provider Enumeration Date	:	07/30/2015
Last Update Date	:	07/30/2015

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