Provider Demographics
NPI:1669478897
Name:HARVEY'S HOME HEALTHCARE
Entity Type:Organization
Organization Name:HARVEY'S HOME HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:URBIN
Authorized Official - Middle Name:GUTHRIE
Authorized Official - Last Name:HARVEY
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:765-664-6100
Mailing Address - Street 1:705 S BALDWIN AVE
Mailing Address - Street 2:
Mailing Address - City:MARION
Mailing Address - State:IN
Mailing Address - Zip Code:46953-1375
Mailing Address - Country:US
Mailing Address - Phone:765-651-0804
Mailing Address - Fax:765-651-0814
Practice Address - Street 1:705 S BALDWIN AVE
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:IN
Practice Address - Zip Code:46953-1375
Practice Address - Country:US
Practice Address - Phone:765-651-0804
Practice Address - Fax:765-651-0814
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN0105670731332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies