Organization Active NPI

Community Health Services , Inc

  • Home Health Agency
  • Owensboro, KY
National Provider Identifier
1154323327
Registry record updated Sep 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
150083 Issued in KY
Legal business name
COMMUNITY HEALTH SERVICES , INC
Practice address
726 Harvard Dr
Owensboro, KY 42301-6152
Phone
(270) 685-4663
Fax
(270) 685-4683
NPI assigned
Jun 1, 2005
Last updated
Sep 23, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Faris Sardar
Title
Vice President
Phone
(859) 219-3939

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 150083 KY
Home Health Agency 251E00000X 150083 KY Primary
Rural Health Clinic/Center 261QR1300X 150083 KY

Addresses

Primary practice location

726 Harvard Dr
Owensboro, KY 42301-6152

Mailing address

726 Harvard Dr
Owensboro, KY 42301-6152
Phone (270) 685-4663

Other identifiers 3

IdentifierTypeStateIssuer
7100201330MedicaidKY
7100168450MedicaidKY
34002303MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory

Locations

108 New Glendale Rd
Elizabethtown, KY 42701
Phone (270) 737-5921

1635 Triplett St
Ste A
Owensboro, KY 42303
Phone (270) 685-4663

Ownership & related parties

Change-of-ownership history 1

DateEventCounterparty
Feb 1, 2017 Change of OwnershipThis provider was the seller Enhabit Home HealthCCN 187087, KY, NPI 1902341399

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379894400000",
    "number": "1154323327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "726 HARVARD DR",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423016152",
            "telephone_number": "270-685-4663",
            "fax_number": "270-685-4683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "726 HARVARD DR",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423016152",
            "telephone_number": "270-685-4663",
            "fax_number": "270-685-4683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HEALTH SERVICES , INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-01",
        "last_updated": "2013-09-23",
        "status": "A",
        "authorized_official_last_name": "SARDAR",
        "authorized_official_first_name": "FARIS",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "859-219-3939",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "KY",
            "license": "150083",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "KY",
            "license": "150083",
            "primary": true
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "KY",
            "license": "150083",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100201330",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100168450",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34002303",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Owensboro, KY

Sources for this page

Verify at the official NPI Registry.