Provider Demographics
NPI:1558806067
Name:HEALTHY HOME SERVICES
Entity Type:Organization
Organization Name:HEALTHY HOME SERVICES
Other - Org Name:HEALTHY HOME CHOICES
Other - Org Type:Other Name
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:CRAIG
Authorized Official - Middle Name:BRADLEY
Authorized Official - Last Name:PATTERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:239-961-9111
Mailing Address - Street 1:76 4TH ST
Mailing Address - Street 2:15-102
Mailing Address - City:BONITA SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:34134-7369
Mailing Address - Country:US
Mailing Address - Phone:239-961-9111
Mailing Address - Fax:
Practice Address - Street 1:76 4TH ST
Practice Address - Street 2:15-102
Practice Address - City:BONITA SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:34134-7369
Practice Address - Country:US
Practice Address - Phone:239-961-9111
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-20
Last Update Date:2016-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care
No253Z00000XAgenciesIn Home Supportive Care
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies