Provider Demographics
NPI:1598387896
Name:INDEPENDENT HOME HEALTH CARE, LLC
Entity Type:Organization
Organization Name:INDEPENDENT HOME HEALTH CARE, LLC
Other - Org Name:INDEPENDENT HOME HEALTH CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:J
Authorized Official - Last Name:LITTLE
Authorized Official - Suffix:
Authorized Official - Credentials:RN, MBA
Authorized Official - Phone:317-296-8813
Mailing Address - Street 1:7318 CROSSING PL
Mailing Address - Street 2:
Mailing Address - City:FISHERS
Mailing Address - State:IN
Mailing Address - Zip Code:46038-2718
Mailing Address - Country:US
Mailing Address - Phone:317-296-8813
Mailing Address - Fax:
Practice Address - Street 1:7318 CROSSING PL
Practice Address - Street 2:
Practice Address - City:FISHERS
Practice Address - State:IN
Practice Address - Zip Code:46038-2718
Practice Address - Country:US
Practice Address - Phone:317-296-8813
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-11
Last Update Date:2021-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health