Provider Demographics
NPI:1558703074
Name:HEALTHCARE HOME SERVICES LLC
Entity Type:Organization
Organization Name:HEALTHCARE HOME SERVICES LLC
Other - Org Name:BALLARD HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:REGINA
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:STORY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:334-418-5067
Mailing Address - Street 1:2918 CITIZENS PKWY
Mailing Address - Street 2:
Mailing Address - City:SELMA
Mailing Address - State:AL
Mailing Address - Zip Code:36701-3947
Mailing Address - Country:US
Mailing Address - Phone:334-418-5067
Mailing Address - Fax:334-418-4719
Practice Address - Street 1:2918 CITIZENS PKWY
Practice Address - Street 2:
Practice Address - City:SELMA
Practice Address - State:AL
Practice Address - Zip Code:36701-3947
Practice Address - Country:US
Practice Address - Phone:334-418-5067
Practice Address - Fax:334-418-4719
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-25
Last Update Date:2013-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health