Provider Demographics
NPI:1588283923
Name:CS HOME CARE INCORPORATED
Entity type:Organization
Organization Name:CS HOME CARE INCORPORATED
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:TAN
Authorized Official - Middle Name:MINH
Authorized Official - Last Name:TRUONG
Authorized Official - Suffix:II
Authorized Official - Credentials:
Authorized Official - Phone:719-460-3359
Mailing Address - Street 1:2860 S CIRCLE DR STE 350R
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80906-4113
Mailing Address - Country:US
Mailing Address - Phone:719-286-3550
Mailing Address - Fax:
Practice Address - Street 1:2860 S CIRCLE DR STE 350R
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80906-4113
Practice Address - Country:US
Practice Address - Phone:719-286-3550
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-15
Last Update Date:2020-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care