Healthcare Provider Details

I. General information

NPI: 1235475351
Provider Name (Legal Business Name): CHI NATIONAL HOME CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/18/2012
Last Update Date: 12/06/2022
Certification Date: 12/06/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

245 S 84TH ST SUITE 300
LINCOLN NE
68510-2680
US

IV. Provider business mailing address

6281 TRI RIDGE BLVD STE 300
LOVELAND OH
45140-8345
US

V. Phone/Fax

Practice location:
  • Phone: 402-219-7043
  • Fax: 402-219-7800
Mailing address:
  • Phone: 513-576-0262
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State

VIII. Authorized Official

Name: JACK HAWKINS
Title or Position: V.P. FINANCE & CFO
Credential:
Phone: 513-576-8478