Provider Demographics
NPI:1194911636
Name:COMMUNITY CARE HOME HEALTH SERVICES, INC.
Entity type:Organization
Organization Name:COMMUNITY CARE HOME HEALTH SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARYLIZA
Authorized Official - Middle Name:
Authorized Official - Last Name:LORENZO
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:708-410-2605
Mailing Address - Street 1:10001 DERBY LN
Mailing Address - Street 2:SUITE 207
Mailing Address - City:WESTCHESTER
Mailing Address - State:IL
Mailing Address - Zip Code:60154-3749
Mailing Address - Country:US
Mailing Address - Phone:708-410-2605
Mailing Address - Fax:708-410-2601
Practice Address - Street 1:10001 DERBY LN
Practice Address - Street 2:SUITE 207
Practice Address - City:WESTCHESTER
Practice Address - State:IL
Practice Address - Zip Code:60154-2600
Practice Address - Country:US
Practice Address - Phone:708-410-2605
Practice Address - Fax:708-410-2601
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-19
Last Update Date:2009-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health