Provider Demographics
NPI:1285789321
Name:CHHC COMPASSIONATE HOME HEALTHCARE, INC.
Entity type:Organization
Organization Name:CHHC COMPASSIONATE HOME HEALTHCARE, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:COMEGYS
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:856-690-0946
Mailing Address - Street 1:760 S DELSEA DR
Mailing Address - Street 2:SUITE 300
Mailing Address - City:VINELAND
Mailing Address - State:NJ
Mailing Address - Zip Code:08360-4464
Mailing Address - Country:US
Mailing Address - Phone:856-690-0946
Mailing Address - Fax:856-690-9551
Practice Address - Street 1:760 S DELSEA DR
Practice Address - Street 2:SUITE 300
Practice Address - City:VINELAND
Practice Address - State:NJ
Practice Address - Zip Code:08360-4464
Practice Address - Country:US
Practice Address - Phone:856-690-0946
Practice Address - Fax:856-690-9551
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJHP0065300251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ7305109Medicaid
NJ317089Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER