Organization
COMMONWEALTH HOME HEALTH CARE, INC.
Active
Other names
Commonwealth Home Health Care
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELLE OLENICK (ACCOUNTS RECEIVABLE SUPERVISOR)
(434) 797-2332
Entity
Organization
Contact information
Practice address
479 PINEY FOREST RD, DANVILLE, VA 24540-4044
(434) 797-2332
(434) 797-9230
Mailing address
479 PINEY FOREST RD, DANVILLE, VA 24540-4044
(434) 797-2332
(434) 799-4114
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
00755
NC
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
0206008455
VA
332BX2000X
Oxygen Equipment & Supplies (DME)
60-006105
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
017792
ANTHEM TRIGON BC/BS
VA
01
—
0481P
BC/BS OF NORTH CAROLINA
NC
05
—
7700444
—
NC
05
—
9133607
—
VA
Enumeration date
02/27/2006
Last updated
08/31/2020
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