Provider Demographics
NPI:1417097528
Name:NATIONAL HOME HEALTH CARE, INC.
Entity Type:Organization
Organization Name:NATIONAL HOME HEALTH CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTIE
Authorized Official - Middle Name:L
Authorized Official - Last Name:CASTOR
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:219-864-9988
Mailing Address - Street 1:732 E US HIGHWAY 30
Mailing Address - Street 2:
Mailing Address - City:SCHERERVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46375-2616
Mailing Address - Country:US
Mailing Address - Phone:219-864-9988
Mailing Address - Fax:219-864-8782
Practice Address - Street 1:732 E US HIGHWAY 30
Practice Address - Street 2:
Practice Address - City:SCHERERVILLE
Practice Address - State:IN
Practice Address - Zip Code:46375-2616
Practice Address - Country:US
Practice Address - Phone:219-864-9988
Practice Address - Fax:219-864-8782
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-07
Last Update Date:2010-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN060046081251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN157569Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER