Provider Demographics
NPI:1821507922
Name:HOME CARE NETWORK, LLC
Entity Type:Organization
Organization Name:HOME CARE NETWORK, LLC
Other - Org Name:FIRST LIGHT HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CO-OWNER/ SALES MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:G.
Authorized Official - Middle Name:LANE
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:334-673-3895
Mailing Address - Street 1:301 PERRY AVE
Mailing Address - Street 2:
Mailing Address - City:DOTHAN
Mailing Address - State:AL
Mailing Address - Zip Code:36303-2543
Mailing Address - Country:US
Mailing Address - Phone:334-673-3895
Mailing Address - Fax:334-673-3871
Practice Address - Street 1:301 PERRY AVE
Practice Address - Street 2:
Practice Address - City:DOTHAN
Practice Address - State:AL
Practice Address - Zip Code:36303-2543
Practice Address - Country:US
Practice Address - Phone:334-673-3895
Practice Address - Fax:334-673-3871
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-21
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care