# COMMUNITY HOPE HOME CARE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235632969
- **Authorized official:** GARRETT BOUSE (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (606) 791-2916

## Contact information

- **Practice address:** 3140 S LAKE DR STE 4, PRESTONSBURG, KY 41653-1411
- **Practice address phone:** (606) 886-8551
- **Mailing address:** 3140 S LAKE DR STE 4, PRESTONSBURG, KY 41653-1411
- **Mailing address phone:** (606) 886-8551
- **Mailing address fax:** (606) 886-8551

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251C00000X | Developmentally Disabled Services Day Training Agency | — | NULL | — |
| 251E00000X | Home Health Agency | 500283 | KY | Yes |

## Other

- **Enumeration date:** 03/08/2018
- **Last updated:** 09/23/2019