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COMMUNITY HOME HEALTH HOSPICE NPI 1871573766


NPI Information

NPI: 1871573766
Provider Name: COMMUNITY HOME HEALTH HOSPICE

Doing Business As: COMMUNITY HOME HEALTH AND HOSPICE

Classification: Home Health - 251E00000X
Entity Type: Organization

CLIA Number: 50D2008834

Address:
1035 11TH AVE
LONGVIEW, WA
ZIP 98632
Phone: (360) 425-8510
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COMMUNITY HOME HEALTH HOSPICE is a home health in Longview, WA. The provider is a public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. COMMUNITY HOME HEALTH HOSPICE NPI is 1871573766. The provider is registered as an organization entity type.
The provider Is Doing Business As Community Home Health And Hospice.

The provider's business location address is:

1035 11TH AVE
LONGVIEW, WA
ZIP 98632-505
Phone: (360) 425-8510
Fax: (360) 425-4667

The provider's authorized official is Greg Pang .
The authorized official title is Executive Director and has the following contact phone number (360) 425-8510.

The CLIA number assigned to this NPI record is 50D2008834 - other - clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/18/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251E00000XHome HealthIS262WASHINGTONYes
2251G00000XHospice Care, Community Based000031WASHINGTONX

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1090779MEDICAIDOREGON
2131933MEDICAIDWASHINGTON
33300316MEDICAIDWASHINGTON
49006057MEDICAIDWASHINGTON
59040650MEDICAIDWASHINGTON
63990033MEDICAIDWASHINGTON
79040528MEDICAIDWASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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