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NPI Code Detail

MEDICARE: COMMUNITY HEALTH AND HOME CARE, INC.

MEDICARE: COMMUNITY HEALTH AND HOME CARE, 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
1251E00000XHome Health Agency9252L001NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1861606485
Entity Type Code : Organization
Provider Name (Legal Business Name) : COMMUNITY HEALTH AND HOME CARE, INC.
Provider Business Mailing Address
First Line : 138 CECIL A. MALONE DRIVE
Second Line :
City : ITHACA
State : NY
Zip : 14850-5124
Country : US
Telephone Number : 607-273-7780
Fax Number : 607-277-1494
Provider Business Practice Location Address
First Line : 138 CECIL A MALONE DR
Second Line :
City : ITHACA
State : NY
Zip : 14850-5124
Country : US
Telephone Number : 607-273-7780
Fax Number : 607-277-1494
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : MS. SUE ELLEN STUART
Credential :
Telephone Number : 607-273-0466
Provider Enumeration Date : 05/10/2007
Last Update Date : 11/03/2014

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Directions to “COMMUNITY HEALTH AND HOME CARE, INC. ” Practice Location

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