Healthcare Provider Details

I. General information

NPI: 1942774617
Provider Name (Legal Business Name): COMMUNITY HEALTH AND HOME CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/16/2019
Last Update Date: 01/16/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

138 CECIL MALONE DR
ITHACA NY
14850-5124
US

IV. Provider business mailing address

138 CECIL MALONE DR
ITHACA NY
14850-5124
US

V. Phone/Fax

Practice location:
  • Phone: 607-273-0466
  • Fax: 607-277-1494
Mailing address:
  • Phone: 607-273-0466
  • Fax: 607-277-1494

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MICHELE LYNN VANORMAN
Title or Position: FINANCE MAG
Credential:
Phone: 607-273-0466