Provider Demographics
NPI:1912398546
Name:KRUGHOFF CARE NETWORK LLC
Entity Type:Organization
Organization Name:KRUGHOFF CARE NETWORK LLC
Other - Org Name:SENIORS HELPING SENIORS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:KRUGHOFF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:765-763-0416
Mailing Address - Street 1:6063 E 600 N
Mailing Address - Street 2:
Mailing Address - City:SHELBYVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46176-9542
Mailing Address - Country:US
Mailing Address - Phone:765-763-0416
Mailing Address - Fax:765-762-0416
Practice Address - Street 1:6063 E 600 N
Practice Address - Street 2:
Practice Address - City:SHELBYVILLE
Practice Address - State:IN
Practice Address - Zip Code:46176-9542
Practice Address - Country:US
Practice Address - Phone:765-763-0416
Practice Address - Fax:765-762-0416
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-18
Last Update Date:2015-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN14-013338-1253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care