Provider Demographics
NPI:1619448081
Name:HALF WAY HOME, INC.
Entity Type:Organization
Organization Name:HALF WAY HOME, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:HOUSTON
Authorized Official - Last Name:DICKS
Authorized Official - Suffix:
Authorized Official - Credentials:JD
Authorized Official - Phone:765-366-2844
Mailing Address - Street 1:811 WHITLOCK AVE
Mailing Address - Street 2:
Mailing Address - City:CRAWFORDSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47933-1449
Mailing Address - Country:US
Mailing Address - Phone:765-307-2995
Mailing Address - Fax:
Practice Address - Street 1:811 WHITLOCK AVE
Practice Address - Street 2:
Practice Address - City:CRAWFORDSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47933-1449
Practice Address - Country:US
Practice Address - Phone:765-307-2995
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-11
Last Update Date:2018-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376J00000XNursing Service Related ProvidersHomemakerGroup - Single Specialty