Provider Demographics
NPI:1114559234
Name:DENNIES, HEIDI M (HOME HEALTH CARE)
Entity Type:Individual
Prefix:
First Name:HEIDI
Middle Name:M
Last Name:DENNIES
Suffix:
Gender:F
Credentials:HOME HEALTH CARE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8131 KENNEDY AVE
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND
Mailing Address - State:IN
Mailing Address - Zip Code:46322-1128
Mailing Address - Country:US
Mailing Address - Phone:219-487-2090
Mailing Address - Fax:219-513-6280
Practice Address - Street 1:8131 KENNEDY AVE
Practice Address - Street 2:
Practice Address - City:HIGHLAND
Practice Address - State:IN
Practice Address - Zip Code:46322-1128
Practice Address - Country:US
Practice Address - Phone:219-487-2090
Practice Address - Fax:219-513-6280
Is Sole Proprietor?:No
Enumeration Date:2020-02-06
Last Update Date:2021-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN19-014535374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide