Healthcare Provider Details

I. General information

NPI: 1841275146
Provider Name (Legal Business Name): COMMUNITY NURSES HOME HEALTH AND HOSPICE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/08/2005
Last Update Date: 08/12/2022
Certification Date: 08/12/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

504 PARK AVE
CLEARFIELD PA
16830-2116
US

IV. Provider business mailing address

757 JOHNSONBURG RD., SUITE 200
ST. MARYS PA
15857-3497
US

V. Phone/Fax

Practice location:
  • Phone: 800-841-9397
  • Fax: 800-843-9620
Mailing address:
  • Phone: 814-781-1415
  • Fax: 814-781-6987

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number154299
License Number StatePA

VIII. Authorized Official

Name: CHERYL MITCHELL
Title or Position: SERVICE LINE DIRECTOR
Credential: RN, MS
Phone: 814-781-1415