Homefront Family Services

LBN: Homefront Family Services
Homefront Family Services is an health care organization with primary practice located at 9909 E 100 S , Greentown IN 46936-9163. The organization recently has 3 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Nutrition, Pediatric, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, Speech, Language and Hearing Service Providers / Speech-Language Pathologist. Speech, Language and Hearing Service Providers / Speech-Language Pathologist is the primary health care specialty. Homefront Family Services can be contacted via phone (765) 628-0605, or through Ellis, Amy via phone (765) 628-0605.

Contact Information

Primary practice address
9909 E 100 S Greentown IN 46936-9163
Phone: (765) 628-0605
Fax: (765) 628-3639
Website:
Map and Directions
Authorized official contact:
Name: Ellis, Amy
Phone: (765) 628-0605

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutrition, Pediatric 133VN1004X 37001000 Indiana
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 2251P0200X 05006820 Indiana
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X 31002242 Indiana
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 22004012 Indiana

Profile Details

NPI number 1073789467
LBN Legal business name Homefront Family Services
DBA Doing business as
Authorized official Ellis, Amy
Entity Organization
Organization subpart 1 No
Enumeration date May 5th, 2008
Last updated May 5th, 2008 - about 16 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 1073789467 NPPES
Indiana MEDICAID 200728940

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