Provider Demographics
NPI:1013430180
Name:LEAGUE FOR THE BLIND AND DISABLED, INC
Entity Type:Organization
Organization Name:LEAGUE FOR THE BLIND AND DISABLED, INC
Other - Org Name:HOME HEALTH CARE PLUS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF NURSING IN HOME HEALTH
Authorized Official - Prefix:
Authorized Official - First Name:MELANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:REY
Authorized Official - Suffix:
Authorized Official - Credentials:REGISTERED NURSE
Authorized Official - Phone:260-441-0551
Mailing Address - Street 1:5821 S ANTHONY BLVD
Mailing Address - Street 2:
Mailing Address - City:FORT WAYNE
Mailing Address - State:IN
Mailing Address - Zip Code:46816-3701
Mailing Address - Country:US
Mailing Address - Phone:260-441-0551
Mailing Address - Fax:260-441-7760
Practice Address - Street 1:5821 S ANTHONY BLVD
Practice Address - Street 2:
Practice Address - City:FORT WAYNE
Practice Address - State:IN
Practice Address - Zip Code:46816-3701
Practice Address - Country:US
Practice Address - Phone:260-441-0551
Practice Address - Fax:260-441-7760
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-20
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN17-014143-2251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health