Provider Demographics
NPI:1639688062
Name:ADMIRAL MEDICAL HOME HEALTH INC
Entity Type:Organization
Organization Name:ADMIRAL MEDICAL HOME HEALTH INC
Other - Org Name:ADMIRAL HOME HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TINA
Authorized Official - Middle Name:
Authorized Official - Last Name:MORGAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:765-239-2780
Mailing Address - Street 1:5730 DR MARTIN LUTHER KING JR BLVD
Mailing Address - Street 2:
Mailing Address - City:ANDERSON
Mailing Address - State:IN
Mailing Address - Zip Code:46013-9789
Mailing Address - Country:US
Mailing Address - Phone:765-239-2780
Mailing Address - Fax:
Practice Address - Street 1:5730 DR MARTIN LUTHER KING JR BLVD
Practice Address - Street 2:
Practice Address - City:ANDERSON
Practice Address - State:IN
Practice Address - Zip Code:46013-9789
Practice Address - Country:US
Practice Address - Phone:765-239-2780
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-28
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health