Provider Demographics
NPI:1164769790
Name:HANDS AT HOME, LLC
Entity Type:Organization
Organization Name:HANDS AT HOME, LLC
Other - Org Name:HOOSIER HOME HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO/ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:IRENE
Authorized Official - Last Name:DANIELSEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:812-360-1040
Mailing Address - Street 1:2600 S HENDERSON ST
Mailing Address - Street 2:SUITE 301
Mailing Address - City:BLOOMINGTON
Mailing Address - State:IN
Mailing Address - Zip Code:47401-8439
Mailing Address - Country:US
Mailing Address - Phone:812-360-1040
Mailing Address - Fax:
Practice Address - Street 1:7110 S LEISURE LN
Practice Address - Street 2:
Practice Address - City:BLOOMINGTON
Practice Address - State:IN
Practice Address - Zip Code:47401-9090
Practice Address - Country:US
Practice Address - Phone:812-360-1040
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-16
Last Update Date:2013-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health