=====================================================
General NPI Number Information
=====================================================
NPI Number | 1821195199
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | COMMUNITY HOME MEDICAL INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/20/2006
-----------------------------------------------------
Last Update Date | 12/15/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 215 S CEDAR ST
-----------------------------------------------------
City | MANISTIQUE
-----------------------------------------------------
State | MI
-----------------------------------------------------
Zip | 49854-1425
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 906-341-1116
-----------------------------------------------------
Fax | 906-341-1118
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 215 S CEDAR ST
-----------------------------------------------------
City | MANISTIQUE
-----------------------------------------------------
State | MI
-----------------------------------------------------
Zip | 49854-1425
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 906-341-1116
-----------------------------------------------------
Fax | 906-341-1118
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | SCOTT CHARTIER
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 906-341-1116
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 3336C0003X
-----------------------------------------------------
Taxonomy Name | Community/Retail Pharmacy
-----------------------------------------------------
License Number | 5301007607
-----------------------------------------------------
License Number State | MI
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 332B00000X
-----------------------------------------------------
Taxonomy Name | Durable Medical Equipment & Medical Supplies
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------