Provider Demographics
NPI:1689902520
Name:HOME HEALTH SPECIALISTS INC.
Entity Type:Organization
Organization Name:HOME HEALTH SPECIALISTS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ELLIOTT
Authorized Official - Middle Name:D
Authorized Official - Last Name:FRUTKIN
Authorized Official - Suffix:
Authorized Official - Credentials:PRESIDENT
Authorized Official - Phone:480-381-0054
Mailing Address - Street 1:5355 E HIGH ST
Mailing Address - Street 2:UNIT 221
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85054-5445
Mailing Address - Country:US
Mailing Address - Phone:480-381-0054
Mailing Address - Fax:
Practice Address - Street 1:5355 E HIGH ST
Practice Address - Street 2:UNIT 221
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85054-5445
Practice Address - Country:US
Practice Address - Phone:480-381-0054
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-04
Last Update Date:2009-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251F00000XAgenciesHome Infusion
No251G00000XAgenciesHospice Care, Community Based
No251J00000XAgenciesNursing Care
No253Z00000XAgenciesIn Home Supportive Care