Provider Demographics
NPI:1265855001
Name:SIMPLY HOME HEALTH, LLC
Entity Type:Organization
Organization Name:SIMPLY HOME HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:LEONARD
Authorized Official - Middle Name:NICHOLAS
Authorized Official - Last Name:FRANKLIN
Authorized Official - Suffix:II
Authorized Official - Credentials:
Authorized Official - Phone:317-219-6012
Mailing Address - Street 1:813 WESTFIELD RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:NOBLESVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46062-8901
Mailing Address - Country:US
Mailing Address - Phone:317-219-6012
Mailing Address - Fax:317-219-6641
Practice Address - Street 1:813 WESTFIELD RD
Practice Address - Street 2:SUITE 200
Practice Address - City:NOBLESVILLE
Practice Address - State:IN
Practice Address - Zip Code:46062-8901
Practice Address - Country:US
Practice Address - Phone:317-219-6012
Practice Address - Fax:317-219-6641
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-30
Last Update Date:2014-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN14-013445-1251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN201224230AMedicaid
IN14-013445-1OtherINDIANA STATE HOME HEALTH AGENCY LICENSE
IN14-013445-1OtherINDIANA STATE HOME HEALTH AGENCY LICENSE