Organization Active NPI

Community Home Nursing and Therapy Services Inc

  • Home Health Agency
  • Carlisle, PA
National Provider Identifier
1710115464
Registry record updated Jul 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
COMMUNITY HOME NURSING AND THERAPY SERVICES INC
Practice address
850 Walnut Bottom Rd Ste 305B
Carlisle, PA 17013-3615
Phone
(717) 632-2600
Fax
(717) 630-0020
NPI assigned
Jul 1, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2021

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

Authorized official

Name
Mr. Raza Imtiaz Khan
Title
President
Phone
(717) 701-1705

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

850 Walnut Bottom Rd Ste 305B
Carlisle, PA 17013-3615

Mailing address

850 Walnut Bottom Rd Ste 305B
Carlisle, PA 17013-3615
Phone (717) 632-2600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090828000214 PA Part A Provider - Home Health Agency 1355496266 Practice locations: Carlisle, PA

Home health agency certification: CCN 398120

Legal name
COMMUNITY HOME NURSING AND THERAPY SERVICES INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Feb 3, 2010
Last certification
Sep 13, 2021
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Mar 5, 2008 in PA
Enrollment address
850 Walnut Bottom Rd
Ste 305B
Carlisle, PA 17013-3615

Care Compare: Home health agency

Medicare Care Compare
Listed as
Community Home Nursing and Therapy Services, IncCCN 398120
Ownership
Proprietary
Certified
Feb 3, 2010
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

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
39D1086253Community Home Nursing and Therapy Services, Inc850 Walnut Bottom Rd, Ste 305B, Carlisle, PA 17013Certificate of waiverJul 8, 2028

National Provider Directory

National Provider Directory

Locations

850 Walnut Bottom Rd
Ste 305B
Carlisle, PA 17013
Phone (717) 632-2600

401 Allegheny Ave
Hanover, PA 17331
Phone (717) 630-2844

Ownership & related parties

All disclosed owners & managing parties 1

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

NameRoleSinceShare
Raza I Khan Individual 5% Or Greater Direct Ownership Interest Mar 5, 2008 100%
Corporate OfficerPresident Mar 5, 2008
Corporate DirectorDirector Mar 5, 2008
W-2 Managing EmployeeAdministrator Mar 5, 2008

Practitioners & affiliated clinicians

Affiliated clinicians 2

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

NPI Registry JSON

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

{
    "created_epoch": "1246406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625184000000",
    "number": "1710115464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 WALNUT BOTTOM RD STE 305B",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170133615",
            "telephone_number": "717-632-2600",
            "fax_number": "717-630-0020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 WALNUT BOTTOM RD STE 305B",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170133615",
            "telephone_number": "717-632-2600",
            "fax_number": "717-630-0020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HOME NURSING AND THERAPY SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-01",
        "last_updated": "2021-07-02",
        "certification_date": "2021-07-02",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "RAZA",
        "authorized_official_middle_name": "IMTIAZ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "717-701-1705",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlisle, PA

Sources for this page

Verify at the official NPI Registry.