Provider Demographics
NPI:1811541782
Name:HIH BLOOMINGTON, LLC DBA SENIOR HELPERS
Entity Type:Organization
Organization Name:HIH BLOOMINGTON, LLC DBA SENIOR HELPERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:DEIDRE
Authorized Official - Middle Name:
Authorized Official - Last Name:TRUAX
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:812-803-2671
Mailing Address - Street 1:822 W 1ST ST STE 3
Mailing Address - Street 2:
Mailing Address - City:BLOOMINGTON
Mailing Address - State:IN
Mailing Address - Zip Code:47403-2382
Mailing Address - Country:US
Mailing Address - Phone:812-803-2671
Mailing Address - Fax:
Practice Address - Street 1:822 W 1ST ST STE 3
Practice Address - Street 2:
Practice Address - City:BLOOMINGTON
Practice Address - State:IN
Practice Address - Zip Code:47403-2382
Practice Address - Country:US
Practice Address - Phone:812-803-2671
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-30
Last Update Date:2019-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care