# COMMUNITY HOME HEALTHCARE

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

## Provider details

- **NPI number:** 1619402864
- **Authorized official:** MICHELLE ANN TACKIE RN, BSN (CEO)
- **Authorized official phone:** (617) 953-5058

## Contact information

- **Practice address:** 75 COMO RD, HYDE PARK, MA 02136-1904
- **Practice address phone:** (617) 953-5058
- **Mailing address:** 75 COMO RD, HYDE PARK, MA 02136-1904
- **Mailing address phone:** (617) 953-5058

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | CC330695 | MA | Yes |

## Other

- **Enumeration date:** 04/25/2017
- **Last updated:** 04/25/2017