Provider Demographics
NPI:1053662601
Name:HOMEFORHEROES
Entity Type:Organization
Organization Name:HOMEFORHEROES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:MERVICE
Authorized Official - Middle Name:MECHELLE
Authorized Official - Last Name:TOWNSEND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:256-426-0130
Mailing Address - Street 1:283 BURWELL RD
Mailing Address - Street 2:
Mailing Address - City:HARVEST
Mailing Address - State:AL
Mailing Address - Zip Code:35749-9166
Mailing Address - Country:US
Mailing Address - Phone:256-426-0130
Mailing Address - Fax:
Practice Address - Street 1:2024 SUMMER ST SW
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35805-3816
Practice Address - Country:US
Practice Address - Phone:256-426-0130
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-23
Last Update Date:2012-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home