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NPI Code Detail

MEDICARE: CHN LLC ADULT DAY CARE

MEDICARE: CHN LLC ADULT DAY CARE
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 Agency

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10790514OTHEROHWAIVER IV
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4000000003144OTHEROHANTHEM B/C BLUE SHIELD
5MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
61881675866OTHEROHNPI

General Provider Information

NPI Number : 1881675866
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHN LLC ADULT DAY CARE
Provider Business Mailing Address
First Line : 5735 MEEKER RD
Second Line :
City : GREENVILLE
State : OH
Zip : 45331-1180
Country : US
Telephone Number : 937-548-0506
Fax Number : 937-548-3468
Provider Business Practice Location Address
First Line : 5735 MEEKER RD
Second Line :
City : GREENVILLE
State : OH
Zip : 45331-1180
Country : US
Telephone Number : 937-548-0506
Fax Number : 937-548-3468
Authorized Official
Title or Position : DIRECTOR
Name : SARA WEAVER
Credential :
Telephone Number : 937-548-0506
Provider Enumeration Date : 11/08/2005
Last Update Date : 08/06/2025

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Directions to “CHN LLC ADULT DAY CARE ” Practice Location

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