Provider Demographics
NPI:1386907889
Name:COMMUNITY HOME HEALTH SERVICES
Entity type:Organization
Organization Name:COMMUNITY HOME HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MARY
Authorized Official - Middle Name:
Authorized Official - Last Name:GACHAGWI
Authorized Official - Suffix:
Authorized Official - Credentials:OWNER
Authorized Official - Phone:202-291-0717
Mailing Address - Street 1:4809 GEORGIA AVE NW
Mailing Address - Street 2:SUITE113
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20011-4533
Mailing Address - Country:US
Mailing Address - Phone:202-291-0717
Mailing Address - Fax:202-291-0717
Practice Address - Street 1:4809 GEORGIA AVE NW
Practice Address - Street 2:SUITE113
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20011-4533
Practice Address - Country:US
Practice Address - Phone:202-291-0717
Practice Address - Fax:202-291-0717
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-19
Last Update Date:2012-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCNSA-0198251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health