Provider Demographics
NPI:1346406626
Name:HEALTHY HOME HEALTH CARE
Entity Type:Organization
Organization Name:HEALTHY HOME HEALTH CARE
Other - Org Name:HEALTHY HOME HEALTH CARE, INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NICOLE
Authorized Official - Middle Name:Y
Authorized Official - Last Name:SIBULO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-927-8996
Mailing Address - Street 1:21A W 3RD ST
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:MO
Mailing Address - Zip Code:63090-2630
Mailing Address - Country:US
Mailing Address - Phone:702-927-8996
Mailing Address - Fax:
Practice Address - Street 1:21A W 3RD ST
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:MO
Practice Address - Zip Code:63090-2630
Practice Address - Country:US
Practice Address - Phone:702-927-8996
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-06
Last Update Date:2008-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health