Provider Demographics
NPI:1013212729
Name:SENIOR HELPERS
Entity Type:Organization
Organization Name:SENIOR HELPERS
Other - Org Name:HEART AT HOME
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:L
Authorized Official - Middle Name:DEAN
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-881-9700
Mailing Address - Street 1:494 S EMERSON AVE
Mailing Address - Street 2:SUITE I-2
Mailing Address - City:GREENWOOD
Mailing Address - State:IN
Mailing Address - Zip Code:46143-1912
Mailing Address - Country:US
Mailing Address - Phone:317-991-9700
Mailing Address - Fax:
Practice Address - Street 1:494 S EMERSON AVE
Practice Address - Street 2:SUITE I-2
Practice Address - City:GREENWOOD
Practice Address - State:IN
Practice Address - Zip Code:46143-1912
Practice Address - Country:US
Practice Address - Phone:317-881-9700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-12
Last Update Date:2011-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN100117451253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN100117451OtherINDIANA PERSONAL SERVICE AGENCY LICENSE