Provider Demographics
NPI:1902291586
Name:CHI NATIONAL HOME CARE
Entity Type:Organization
Organization Name:CHI NATIONAL HOME CARE
Other - Org Name:CHI ST. ANTHONY HEALTH AT HOME
Other - Org Type:Doing Business As
Authorized Official - Title/Position:V.P. FINANCE & CFO
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:S
Authorized Official - Last Name:HERDTNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-576-0262
Mailing Address - Street 1:1700 EDISON DR
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:OH
Mailing Address - Zip Code:45150-2729
Mailing Address - Country:US
Mailing Address - Phone:513-576-0262
Mailing Address - Fax:513-576-4388
Practice Address - Street 1:1416 SE COURT AVE
Practice Address - Street 2:
Practice Address - City:PENDLETON
Practice Address - State:OR
Practice Address - Zip Code:97801-3215
Practice Address - Country:US
Practice Address - Phone:541-276-4100
Practice Address - Fax:541-278-6564
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-01
Last Update Date:2015-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
38-7032Medicare UPIN