MEDICARE: COMMUNITY HOME NURSING AND THERAPY SERVICES INC

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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1710115464
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMMUNITY HOME NURSING AND THERAPY SERVICES INC

Provider Business Mailing Address
First Line	:	850 WALNUT BOTTOM RD STE 305B
Second Line	:
City	:	CARLISLE
State	:	PA
Zip	:	17013-3615
Country	:	US
Telephone Number	:	717-632-2600
Fax Number	:	717-630-0020

Provider Business Practice Location Address
First Line	:	850 WALNUT BOTTOM RD STE 305B
Second Line	:
City	:	CARLISLE
State	:	PA
Zip	:	17013-3615
Country	:	US
Telephone Number	:	717-632-2600
Fax Number	:	717-630-0020

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. RAZA IMTIAZ KHAN
Credential	:
Telephone Number	:	717-701-1705

Provider Enumeration Date	:	07/01/2009
Last Update Date	:	07/02/2021

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