Provider Demographics
NPI:1083166359
Name:TERRE HAUTE SENIOR CARE, LLC
Entity Type:Organization
Organization Name:TERRE HAUTE SENIOR CARE, LLC
Other - Org Name:HOME INSTEAD SENIOR CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DENNIS
Authorized Official - Middle Name:
Authorized Official - Last Name:GUNTHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:812-471-0050
Mailing Address - Street 1:223 NW 2ND ST
Mailing Address - Street 2:SUITE 310
Mailing Address - City:EVANSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47708-1207
Mailing Address - Country:US
Mailing Address - Phone:812-471-0050
Mailing Address - Fax:812-471-2822
Practice Address - Street 1:223 NW 2ND ST
Practice Address - Street 2:SUITE 310
Practice Address - City:EVANSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47708-1207
Practice Address - Country:US
Practice Address - Phone:812-471-0050
Practice Address - Fax:812-471-2822
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:KLIPSCH SENIOR CARE, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-11-02
Last Update Date:2016-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN16-013854-1253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care