111 Home Health Care Agency

LBN: 111 Home Health Care Agency
111 Home Health Care Agency is an health care organization with primary practice located at 336 W Garfield Ave , Elkhart IN 46516-2501. The organization recently has only one registered license in Agencies / Home Health, which is considered as the primary health care specialty. 111 Home Health Care Agency can be contacted via phone (574) 293-6682, or through Suggs, Lavern I via phone (574) 293-6682.

Contact Information

Primary practice address
336 W Garfield Ave Elkhart IN 46516-2501
Phone: (574) 293-6682
Fax: (574) 293-7947
Website:
Map and Directions
Authorized official contact:
Name: Suggs, Lavern I Licensed Practical Nurse (LPN)
Phone: (574) 293-6682

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X

Profile Details

NPI number 1245558808
LBN Legal business name 111 Home Health Care Agency
DBA Doing business as
Authorized official Suggs, Lavern I Licensed Practical Nurse (LPN)
Entity Organization
Organization subpart 1 No
Enumeration date May 6th, 2010
Last updated May 6th, 2010 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245558808 NPPES
Indiana MEDICAID PENDING

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