Provider Demographics
NPI:1326227117
Name:HAMMOND CARE FROM THE HEART SOCIAL SERVICES
Entity Type:Organization
Organization Name:HAMMOND CARE FROM THE HEART SOCIAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:MANZELLA
Authorized Official - Middle Name:
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:219-933-7111
Mailing Address - Street 1:2158 45TH ST
Mailing Address - Street 2:PMB - 511
Mailing Address - City:HIGHLAND
Mailing Address - State:IN
Mailing Address - Zip Code:46322-3742
Mailing Address - Country:US
Mailing Address - Phone:219-933-7111
Mailing Address - Fax:219-933-6657
Practice Address - Street 1:534 CONKEY ST
Practice Address - Street 2:2ND FLOOR
Practice Address - City:HAMMOND
Practice Address - State:IN
Practice Address - Zip Code:46324-1100
Practice Address - Country:US
Practice Address - Phone:291-933-7111
Practice Address - Fax:219-933-6657
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-29
Last Update Date:2007-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN28171444A251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care