Provider Demographics
NPI:1437389368
Name:HUMMINGBIRD HOME CARE LLC
Entity Type:Organization
Organization Name:HUMMINGBIRD HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:FLOYD
Authorized Official - Middle Name:WILLAIM
Authorized Official - Last Name:MEDDEL
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:317-203-7036
Mailing Address - Street 1:60 LINCOLN CT
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:IN
Mailing Address - Zip Code:46131-1003
Mailing Address - Country:US
Mailing Address - Phone:317-203-7036
Mailing Address - Fax:317-412-9442
Practice Address - Street 1:60 LINCOLN CT
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:IN
Practice Address - Zip Code:46131-1003
Practice Address - Country:US
Practice Address - Phone:317-203-7036
Practice Address - Fax:317-412-9442
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-27
Last Update Date:2009-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN090121661253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care