Healthcare Provider Details

I. General information

NPI: 1649278755
Provider Name (Legal Business Name): COMMUNITY HOME SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/12/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

781 ROUTE 113
SOUDERTON PA
18964-1000
US

IV. Provider business mailing address

781 ROUTE 113
SOUDERTON PA
18964-1000
US

V. Phone/Fax

Practice location:
  • Phone: 215-723-1906
  • Fax: 215-723-1590
Mailing address:
  • Phone: 215-723-1906
  • Fax: 215-723-1590

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: DIANE TIHANSKY
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 215-723-1906