Provider Demographics
NPI:1407066285
Name:LAGRANGE COUNTY HOME HEALTH THERAPY SERVICES,PC
Entity Type:Organization
Organization Name:LAGRANGE COUNTY HOME HEALTH THERAPY SERVICES,PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ANAND
Authorized Official - Middle Name:
Authorized Official - Last Name:RAMACHANDRAN
Authorized Official - Suffix:
Authorized Official - Credentials:OTR
Authorized Official - Phone:260-463-4210
Mailing Address - Street 1:555 W 060 N
Mailing Address - Street 2:
Mailing Address - City:LAGRANGE
Mailing Address - State:IN
Mailing Address - Zip Code:46761-8674
Mailing Address - Country:US
Mailing Address - Phone:260-463-4210
Mailing Address - Fax:
Practice Address - Street 1:555 W 060 N
Practice Address - Street 2:
Practice Address - City:LAGRANGE
Practice Address - State:IN
Practice Address - Zip Code:46761-8674
Practice Address - Country:US
Practice Address - Phone:260-463-4210
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN31002670A225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty