National Provider Identifier Database

111HOME HEALTH CARE AGENCY
In Home Supportive Care

An In Home Supportive Care Agency provides services in the patient?s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.


Contact Information

111HOME HEALTH CARE AGENCY
336 W GARFIELD AVE
ELKHART, IN46516-2501
Phone: 574-350-9831
Fax: 574-293-7947
Website:
Specialty Taxonomy Code
* In Home Supportive Care 253Z00000X

* Indicates primary specialty

NPI Profile & details for 111HOME HEALTH CARE AGENCY

NPI Number 1376816702
Legal business name
LBN
111HOME HEALTH CARE AGENCY
Authorized official LAVERN SUGGS - (CEO)
Entity Organization
Organization subpart No
Enumeration date 02/15/2012
Last updated 02/15/2012 - About 14 years ago
Sole proprietor1 Not specified
Identifiers
  • IN License #: 11-012725-1

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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