Provider Demographics
NPI:1134490857
Name:SOUTHERN IOWA HOME HEALTH, LLC
Entity Type:Organization
Organization Name:SOUTHERN IOWA HOME HEALTH, LLC
Other - Org Name:INTERIM HEALTHCARE OF SOUTHERN IOWA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:MARGOLIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:618-924-0988
Mailing Address - Street 1:209 N. CLINTON ST.
Mailing Address - Street 2:
Mailing Address - City:ALBIA
Mailing Address - State:IA
Mailing Address - Zip Code:52531-2041
Mailing Address - Country:US
Mailing Address - Phone:641-932-2513
Mailing Address - Fax:641-932-2514
Practice Address - Street 1:209 N. CLINTON ST.
Practice Address - Street 2:
Practice Address - City:ALBIA
Practice Address - State:IA
Practice Address - Zip Code:52531-2041
Practice Address - Country:US
Practice Address - Phone:641-932-2513
Practice Address - Fax:641-932-2514
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-26
Last Update Date:2017-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health