Community Home Care Services Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

COMMUNITY HOME CARE SERVICES INC

Practice address

1909A S Heaton St
Knox, IN 46534-2325

Phone

(574) 772-3157

Fax

(574) 772-3175

NPI assigned

Jan 13, 2020

Last updated

Jan 13, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ruth E Leestma

Title

Ceo

Phone

(941) 228-8289

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1447890918. Details of each certification follow.

• CCN 157078 Home health agency · Active · Details

Home health agency certification: CCN 157078

Legal name

COMMUNITY HOME CARE SERVICES INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Oct 14, 1982

Last certification

Oct 15, 2015

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Nov 20, 2019 in IN

Enrollment address

1909 S Heaton St
Knox, IN 46534-2325

Listed as

Community Home Care Services IncCCN 157078 · All quality measures

Overall star rating

2 of 5

Ownership

Proprietary

Certified

Oct 14, 1982

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Physical therapy, Occupational therapy

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Change-of-ownership history 1

Change of ownership 1

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

• Pulaski Memorial Hospital

  dba Pulaski Memorial Home Health Care

  • Home Health Agency
  • Winamac, IN
  • NPI 1376540310

  Acquired from, 2020-01-01

  CMS change of ownership

Affiliated clinicians 5

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Jennifer Crystal Biesiadecki, DO

  • Family Medicine Physician
  • Winamac, IN
  • NPI 1902366412

  Home health agency

  Care Compare affiliation
• Timothy Day, MD

  • Family Medicine Physician
  • Winamac, IN
  • NPI 1386178861

  Home health agency

  Care Compare affiliation
• Amber Marie Howard, FNP

  • Family Nurse Practitioner
  • Knox, IN
  • NPI 1790509065

  Home health agency

  Care Compare affiliation
• Michael Ryan Keller, MD

  • Family Medicine Physician
  • Winamac, IN
  • NPI 1407419914

  Home health agency

  Care Compare affiliation
• Kevin O'Brien, MD

  • Family Medicine Physician
  • Rochester, IN
  • NPI 1003867771

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1578873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578873600000",
    "number": "1447890918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1909A S HEATON ST",
            "city": "KNOX",
            "state": "IN",
            "postal_code": "465342325",
            "telephone_number": "574-772-3157",
            "fax_number": "574-772-3175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1909A S HEATON ST",
            "city": "KNOX",
            "state": "IN",
            "postal_code": "465342325",
            "telephone_number": "574-772-3157",
            "fax_number": "574-772-3175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HOME CARE SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-13",
        "last_updated": "2020-01-13",
        "certification_date": "2020-01-13",
        "status": "A",
        "authorized_official_last_name": "LEESTMA",
        "authorized_official_first_name": "RUTH",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "941-228-8289"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly O'Brian Clark, R.N., M.S.N., F.N.P.
• Cni Starke LLC (Starke Memorial Hospital)
• Cni Starke, LLC (Charles Stone Surgical)
• Daniel Cole, NP
• Crystal Combs, CNA
• Daviess County Hospital (Wintersong Village)
• Rachel Dean, ATC
• Erin Duff, N.P.
• Dycora Transitional Health - Knox LLC
• Emcare Physician Providers, Inc.

• Home Health Agency in Knox, IN
• Providers in Knox, IN by specialty
• Home Health Agency in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.