Provider Demographics
NPI:1275937245
Name:HANNAH'S HOUSE HOME CARE LLC
Entity Type:Organization
Organization Name:HANNAH'S HOUSE HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CARLA
Authorized Official - Middle Name:
Authorized Official - Last Name:COLLINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:203-449-3072
Mailing Address - Street 1:4651 SALISBURY RD
Mailing Address - Street 2:SUITE 400
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32256-6107
Mailing Address - Country:US
Mailing Address - Phone:203-449-3072
Mailing Address - Fax:203-449-3072
Practice Address - Street 1:4651 SALISBURY RD
Practice Address - Street 2:SUITE 400
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32256-6107
Practice Address - Country:US
Practice Address - Phone:203-449-3072
Practice Address - Fax:203-449-3072
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-20
Last Update Date:2014-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health