Provider Demographics
NPI:1760878466
Name:GREENE COUNTY HOMEHEALTH CARE
Entity Type:Organization
Organization Name:GREENE COUNTY HOMEHEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICARE BILLER
Authorized Official - Prefix:
Authorized Official - First Name:LYNDA
Authorized Official - Middle Name:
Authorized Official - Last Name:HARSTINE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:812-847-9496
Mailing Address - Street 1:1185 N 1000 W
Mailing Address - Street 2:
Mailing Address - City:LINTON
Mailing Address - State:IN
Mailing Address - Zip Code:47441-5282
Mailing Address - Country:US
Mailing Address - Phone:812-847-9496
Mailing Address - Fax:812-847-9496
Practice Address - Street 1:409 NE A ST
Practice Address - Street 2:
Practice Address - City:LINTON
Practice Address - State:IN
Practice Address - Zip Code:47441-9402
Practice Address - Country:US
Practice Address - Phone:812-847-9496
Practice Address - Fax:812-847-1825
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-09
Last Update Date:2015-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN05324305S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305S00000XManaged Care OrganizationsPoint of Service