111Home Personal Care Agency

LBN: 111Home Health Care Agency
111Home Personal 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 / In Home Supportive Care, which is considered as the primary health care specialty. 111Home Health Care Agency can be contacted via phone (574) 350-9831, or through Suggs, Lavern I via phone (574) 350-9831.

Contact Information

Primary practice address
336 W Garfield Ave Elkhart IN 46516-2501
Phone: (574) 350-9831
Fax: (574) 293-7947
Website:
Map and Directions
Authorized official contact:
Name: Suggs, Lavern I CEO
Phone: (574) 350-9831

Health care specialties

SpecialtyCodeLicense #State
Agencies / In Home Supportive Care 253Z00000X 11-012725-1 Indiana

Profile Details

NPI number 1376816702
LBN Legal business name 111Home Health Care Agency
DBA Doing business as 111Home Personal Care Agency
Authorized official Suggs, Lavern I CEO
Entity Organization
Organization subpart 1 No
Enumeration date Feb 15th, 2012
Last updated Feb 15th, 2012 - about 12 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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