Provider Demographics
NPI:1649069550
Name:HOPPER HOME HEALTH LLC
Entity type:Organization
Organization Name:HOPPER HOME HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:AUTUMN
Authorized Official - Middle Name:LYNNE
Authorized Official - Last Name:HOPPER
Authorized Official - Suffix:
Authorized Official - Credentials:LPN IV
Authorized Official - Phone:620-218-4099
Mailing Address - Street 1:110 W 9TH AVE
Mailing Address - Street 2:
Mailing Address - City:WINFIELD
Mailing Address - State:KS
Mailing Address - Zip Code:67156-2852
Mailing Address - Country:US
Mailing Address - Phone:620-218-4099
Mailing Address - Fax:620-218-7653
Practice Address - Street 1:110 W 9TH AVE
Practice Address - Street 2:
Practice Address - City:WINFIELD
Practice Address - State:KS
Practice Address - Zip Code:67156-2852
Practice Address - Country:US
Practice Address - Phone:620-218-4099
Practice Address - Fax:620-218-4099
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-06
Last Update Date:2025-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care
No253Z00000XAgenciesIn Home Supportive Care