Provider Demographics
NPI:1053699249
Name:COMMUNITY THREADS, INC.
Entity type:Organization
Organization Name:COMMUNITY THREADS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:
Authorized Official - Last Name:GREAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-253-1005
Mailing Address - Street 1:P.O. BOX 13841
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43213-0841
Mailing Address - Country:US
Mailing Address - Phone:614-253-1005
Mailing Address - Fax:614-253-1005
Practice Address - Street 1:1509 E. MAIN STREET
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43205-2152
Practice Address - Country:US
Practice Address - Phone:614-253-1005
Practice Address - Fax:614-253-1005
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-22
Last Update Date:2011-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health