Organization Active NPI

Community HC, LLC

  • In Home Supportive Care Agency
  • Hobart, IN
National Provider Identifier
1689355075
Registry record updated Jul 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
COMMUNITY HC, LLC
Practice address
7779 E Ridge Rd Ste B
Hobart, IN 46342-2486
Phone
(219) 240-5327
Fax
(317) 816-2350
NPI assigned
Jul 27, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2023

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

Authorized official

Name
Mark Long
Title
Ceo
Phone
(317) 690-1264

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

7779 E Ridge Rd Ste B
Hobart, IN 46342-2486

Mailing address

4640 W Jefferson Blvd
Fort Wayne, IN 46804-6826
Phone (260) 441-8302

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
15D2008052At Home Health Care Agency LLC to Community HC LLC7779 E Ridge Rd, Suite B, Hobart, IN 46342Certificate of waiverJun 2, 2028

National Provider Directory

National Provider Directory

Locations

7779 E Ridge Rd
Ste B
Hobart, IN 46342
Phone (219) 240-5327

NPI Registry JSON

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

{
    "created_epoch": "1690416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690416000000",
    "number": "1689355075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4640 W JEFFERSON BLVD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468046826",
            "telephone_number": "260-441-8302",
            "fax_number": "260-441-8502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7779 E RIDGE RD STE B",
            "city": "HOBART",
            "state": "IN",
            "postal_code": "463422486",
            "telephone_number": "219-240-5327",
            "fax_number": "317-816-2350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-27",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-27",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "317-690-1264"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hobart, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.