Provider Demographics
NPI:1467037184
Name:HEALING AT HOME LLC
Entity Type:Organization
Organization Name:HEALING AT HOME LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR OF NURSING SVC
Authorized Official - Prefix:MS
Authorized Official - First Name:ANDREA
Authorized Official - Middle Name:
Authorized Official - Last Name:STROTHER
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:260-467-0470
Mailing Address - Street 1:429 E DUPONT RD # 1072
Mailing Address - Street 2:
Mailing Address - City:FORT WAYNE
Mailing Address - State:IN
Mailing Address - Zip Code:46825-2051
Mailing Address - Country:US
Mailing Address - Phone:260-467-0470
Mailing Address - Fax:
Practice Address - Street 1:429 E DUPONT RD # 1072
Practice Address - Street 2:
Practice Address - City:FORT WAYNE
Practice Address - State:IN
Practice Address - Zip Code:46825-2051
Practice Address - Country:US
Practice Address - Phone:260-467-0470
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-15
Last Update Date:2021-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
No251E00000XAgenciesHome Health
No251F00000XAgenciesHome Infusion
No3336H0001XSuppliersPharmacyHome Infusion Therapy Pharmacy