Provider Demographics
NPI:1417979345
Name:HEALTHSET L.L.C
Entity Type:Organization
Organization Name:HEALTHSET L.L.C
Other - Org Name:HEALTHSET
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:JOY
Authorized Official - Middle Name:CHIKODILI
Authorized Official - Last Name:UDUEHI
Authorized Official - Suffix:
Authorized Official - Credentials:RN,C MPH
Authorized Official - Phone:812-473-3177
Mailing Address - Street 1:955 S HEBRON AVE STE D
Mailing Address - Street 2:
Mailing Address - City:EVANSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47714-4085
Mailing Address - Country:US
Mailing Address - Phone:812-473-3177
Mailing Address - Fax:812-473-3171
Practice Address - Street 1:955 S HEBRON AVE STE D
Practice Address - Street 2:
Practice Address - City:EVANSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47714-4085
Practice Address - Country:US
Practice Address - Phone:812-473-3177
Practice Address - Fax:812-473-3171
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-23
Last Update Date:2011-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN06003563-1251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200450280AMedicaid
IN200497190AOtherMEDWAIVER
IN200450280AMedicaid