Provider Demographics
NPI:1518239383
Name:FORD HOME HEALTH SERVICES PLUS
Entity Type:Organization
Organization Name:FORD HOME HEALTH SERVICES PLUS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:JEANETTE
Authorized Official - Middle Name:S
Authorized Official - Last Name:FORD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:308-874-6125
Mailing Address - Street 1:PO BOX 849
Mailing Address - Street 2:
Mailing Address - City:CHAPPELL
Mailing Address - State:NE
Mailing Address - Zip Code:69129-0849
Mailing Address - Country:US
Mailing Address - Phone:308-874-6125
Mailing Address - Fax:308-874-2737
Practice Address - Street 1:1318 1ST ST
Practice Address - Street 2:
Practice Address - City:CHAPPELL
Practice Address - State:NE
Practice Address - Zip Code:69129-6859
Practice Address - Country:US
Practice Address - Phone:308-874-6125
Practice Address - Fax:308-874-2737
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-08
Last Update Date:2012-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NEHHA201106251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health