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General NPI Number Information
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NPI Number | 1801588157
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Entity Type | Organization
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Legal Business Name | COMMUNITY HOME HEALTH LLC
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Dates
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Enumeration Date | 05/24/2023
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Last Update Date | 10/24/2024
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Provider Practice Location Address
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Address Line | 2506 JEFFERSON AVE STE 103
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City | NEWPORT NEWS
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State | VA
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Zip | 23607-4502
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Country | US
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Telephone | 757-300-6506
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Fax |
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Provider Business Mailing Address
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Address Line | 2506 JEFFERSON AVE STE 103
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City | NEWPORT NEWS
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State | VA
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Zip | 23607-4502
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Country | US
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Telephone | 757-300-6506
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | SHARIFA JONES
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Credential |
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Telephone | 757-300-6506
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3747A0650X
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Taxonomy Name | Attendant Care Provider
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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