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Contact Information

111 HOME HEALTH CARE AGENCY
336 W GARFIELD AVE
ELKHART, IN46516-2501
 Phone: 574-293-6682
 Fax: 574-293-7947
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Home Health

251E00000X A4[11] Home Health Agency
Indicates primary specialty

NPI Profile & details for 111 HOME HEALTH CARE AGENCY

NPI Number 1245558808
LBN Legal business name 111 HOME HEALTH CARE AGENCY
Authorized official LAVERN SUGGS - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 05/06/2010
Last updated 05/06/2010 - About 16 years ago
Identifiers
IN Medicaid PENDING
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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