Healthcare Provider Details

I. General information

NPI: 1902291586
Provider Name (Legal Business Name): CHI NATIONAL HOME CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/01/2015
Last Update Date: 04/01/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1416 SE COURT AVE
PENDLETON OR
97801-3215
US

IV. Provider business mailing address

1700 EDISON DR
MILFORD OH
45150-2729
US

V. Phone/Fax

Practice location:
  • Phone: 541-276-4100
  • Fax: 541-278-6564
Mailing address:
  • Phone: 513-576-0262
  • Fax: 513-576-4388

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: WILLIAM S. HERDTNER
Title or Position: V.P. FINANCE & CFO
Credential:
Phone: 513-576-0262