Provider Demographics
NPI:1720566318
Name:HOWARD HEALTH, LLC
Entity Type:Organization
Organization Name:HOWARD HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:KEELIE
Authorized Official - Middle Name:NATASHA
Authorized Official - Last Name:HOWARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:765-621-6670
Mailing Address - Street 1:9276 W 1025 S
Mailing Address - Street 2:
Mailing Address - City:FORTVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46040
Mailing Address - Country:US
Mailing Address - Phone:765-621-6670
Mailing Address - Fax:
Practice Address - Street 1:401 W BROADWAY ST
Practice Address - Street 2:
Practice Address - City:INGALLS
Practice Address - State:IN
Practice Address - Zip Code:46048-9500
Practice Address - Country:US
Practice Address - Phone:765-621-6670
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-06
Last Update Date:2022-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)Group - Single Specialty