Healthcare Provider Details

I. General information

NPI: 1700687530
Provider Name (Legal Business Name): CMH HEALTH CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/19/2025
Last Update Date: 06/13/2025
Certification Date: 06/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2730 WASHINGTON BLVD STE 100
BELPRE OH
45714-1943
US

IV. Provider business mailing address

2730 WASHINGTON BLVD STE 100
BELPRE OH
45714-1943
US

V. Phone/Fax

Practice location:
  • Phone: 740-760-1299
  • Fax: 740-736-2036
Mailing address:
  • Phone: 740-760-1299
  • Fax: 740-736-2036

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0002X
TaxonomyHospice and Palliative Medicine (Internal Medicine) Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State

VIII. Authorized Official

Name: LANCE MAYBERRY
Title or Position: DIRECTOR
Credential:
Phone: 740-760-1299