Provider Demographics
NPI:1205600319
Name:HOBBLE CREEK HOMECARE LLC
Entity type:Organization
Organization Name:HOBBLE CREEK HOMECARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SIPOLA
Authorized Official - Middle Name:
Authorized Official - Last Name:MAKAI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:385-625-7923
Mailing Address - Street 1:1303 S 1530 W
Mailing Address - Street 2:
Mailing Address - City:SPRINGVILLE
Mailing Address - State:UT
Mailing Address - Zip Code:84663-6500
Mailing Address - Country:US
Mailing Address - Phone:385-625-7923
Mailing Address - Fax:
Practice Address - Street 1:1303 S 1530 W
Practice Address - Street 2:
Practice Address - City:SPRINGVILLE
Practice Address - State:UT
Practice Address - Zip Code:84663-6500
Practice Address - Country:US
Practice Address - Phone:385-625-7923
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-09
Last Update Date:2023-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No385H00000XRespite Care FacilityRespite Care