Community Home Health, Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

730218500 Issued in MN

Legal business name

COMMUNITY HOME HEALTH, INC

Practice address

7447 Egan Dr Ste 202
Savage, MN 55378-2210

Phone

(952) 440-3955

Fax

(952) 440-3956

NPI assigned

Sep 26, 2006

Organization subpart

No

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

Authorized official

Name

Donna Novak

Title

Ceo

Phone

(952) 440-3955

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Home health agency certification: CCN 248005

Legal name

COMMUNITY HOME HEALTH, INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Sep 30, 1994

Last certification

Apr 13, 2017

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Aug 1, 1994 in MN

Enrollment address

16670 Franklin TRL SE
Ste 120a
Prior Lake, MN 55372-2926

Listed as

Community Home Health IncCCN 248005

Ownership

Proprietary

Certified

Sep 30, 1994

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Home health aide, Physical 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 2

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

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708646400000",
    "number": "1508967134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7447 EGAN DR STE 202",
            "city": "SAVAGE",
            "state": "MN",
            "postal_code": "553782210",
            "telephone_number": "952-440-3955",
            "fax_number": "952-440-3956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7447 EGAN DR STE 202",
            "city": "SAVAGE",
            "state": "MN",
            "postal_code": "553782210",
            "telephone_number": "952-440-3955",
            "fax_number": "952-440-3956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HOME HEALTH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2024-02-23",
        "certification_date": "2024-02-23",
        "status": "A",
        "authorized_official_last_name": "NOVAK",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "952-440-3955"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": "730218500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "730218500",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "5900016",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MN",
            "identifier": "7A64C0",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Child & Adult Services Cas LLC
• Children'S Dental Care
• Christopher Peter Gregg
• Lacey Cline, LAC
• Comfort Haven LLC
• Compassion Health Care, LLC
• Compassion Transportation Services, LLC
• Conquering Giants Christian Counseling Services LLC
• Ann Marie Conrad, LPCC
• Caitlin Corby

• Home Health Agency in Savage, MN
• Providers in Savage, MN by specialty
• Home Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2024; 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.