Provider Demographics
NPI:1174599047
Name:COMMUNITY HOME HEALTH SERVICES, INC
Entity type:Organization
Organization Name:COMMUNITY HOME HEALTH SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JESSIE
Authorized Official - Middle Name:A
Authorized Official - Last Name:WESTLUND
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:317-621-4850
Mailing Address - Street 1:9894 E 121ST ST
Mailing Address - Street 2:
Mailing Address - City:FISHERS
Mailing Address - State:IN
Mailing Address - Zip Code:46037-4154
Mailing Address - Country:US
Mailing Address - Phone:317-621-4800
Mailing Address - Fax:317-621-4811
Practice Address - Street 1:9894 E 121ST ST
Practice Address - Street 2:
Practice Address - City:FISHERS
Practice Address - State:IN
Practice Address - Zip Code:46037-4154
Practice Address - Country:US
Practice Address - Phone:317-621-4800
Practice Address - Fax:317-621-4811
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COMMUNITY HOME HEALTH SERVICES, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-02-28
Last Update Date:2007-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN009501251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN000000185368OtherANTHEM BLUE CROSS AND BLU
IN200121620AMedicaid
IN000000005895OtherMPLAN
IN000000185368OtherANTHEM BLUE CROSS AND BLU