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111 Home Health Care Agency
Home Health Agency in Elkhart, Indiana
NPI 1245558808

111 Home Health Care Agency is a Home Health Agency based in Elkhart, IN. 111 Home Health Care Agency practices in Elkhart, IN. The NPI Number for 111 Home Health Care Agency is 1245558808 and holds a License No. (Indiana).

The current practice location address for 111 Home Health Care Agency is 336 W Garfield Ave, Elkhart, IN and can be reached out via phone at 574-293-6682 and via fax at 574-293-7947. You can also correspond with 111 Home Health Care Agency through the mailing address at 336 W GARFIELD AVE, ELKHART, IN - 46516-2501 (mailing address contact number: 574-293-6682).

Location: 336 W Garfield Ave, Elkhart, IN, 46516-2501
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1245558808
Provider Name
111 Home Health Care Agency
Credential
Provider Entity Type
Organization
Address
336 W Garfield Ave, Elkhart, IN, 46516-2501
Phone Number
574-293-6682
Fax Number
574-293-7947
Provider Enumeration Date
05/06/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PENDING 05 IN
institution
Provider Business Practice Location Address Details
Address
336 W Garfield Ave
City
Elkhart
State
Indiana
Zip
46516-2501
Phone Number
574-293-6682
Fax Number
574-293-7947
person
Provider Business Mailing Address Details
Address
336 W Garfield Ave
City
Elkhart
State
Indiana
Zip
46516-2501
Phone Number
574-293-6682
Fax Number
574-293-7947
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
()
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
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