Provider Demographics
NPI:1710214564
Name:MY NEIGHBOR'S HELPER HOME CARE AGENCY INC
Entity Type:Organization
Organization Name:MY NEIGHBOR'S HELPER HOME CARE AGENCY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NEKITTA
Authorized Official - Middle Name:
Authorized Official - Last Name:MCCLENDON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-213-3734
Mailing Address - Street 1:4615 N RITTER AVE
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46226-2213
Mailing Address - Country:US
Mailing Address - Phone:317-222-1351
Mailing Address - Fax:317-282-0498
Practice Address - Street 1:4615 N RITTER AVE
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46226-2213
Practice Address - Country:US
Practice Address - Phone:317-222-1351
Practice Address - Fax:317-282-0498
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-13
Last Update Date:2009-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN09-012230-1253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care