MEDICARE: COMMUNITY HOME PARTNERS, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	376J00000X	Homemaker

General Provider Information

NPI Number	:	1356279806
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMMUNITY HOME PARTNERS, LLC

Provider Business Mailing Address
First Line	:	512 S JOHNSON ST
Second Line	:
City	:	PLANT CITY
State	:	FL
Zip	:	33563-6124
Country	:	US
Telephone Number	:	813-240-7030
Fax Number	:

Provider Business Practice Location Address
First Line	:	512 S JOHNSON ST
Second Line	:
City	:	PLANT CITY
State	:	FL
Zip	:	33563-6124
Country	:	US
Telephone Number	:	813-240-7030
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DARRIELLE X HARDGE
Credential	:
Telephone Number	:	813-240-7030

Provider Enumeration Date	:	05/13/2026
Last Update Date	:	05/13/2026

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