Provider Demographics
NPI:1326271602
Name:LOCAL HOME HEALTHCARE, INC
Entity Type:Organization
Organization Name:LOCAL HOME HEALTHCARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JACOB
Authorized Official - Middle Name:
Authorized Official - Last Name:KOST
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-272-4502
Mailing Address - Street 1:4340 W. MCDOWELL ROAD
Mailing Address - Street 2:SUITE #5-A
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85035-4225
Mailing Address - Country:US
Mailing Address - Phone:602-272-4502
Mailing Address - Fax:602-272-8634
Practice Address - Street 1:4340 W. MCDOWELL ROAD
Practice Address - Street 2:SUITE #5-A
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85035-4225
Practice Address - Country:US
Practice Address - Phone:602-272-4502
Practice Address - Fax:602-272-8634
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-02
Last Update Date:2009-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health