Provider Demographics
NPI:1700468659
Name:SAFE T HOME CARE INC
Entity Type:Organization
Organization Name:SAFE T HOME CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:JUDY
Authorized Official - Middle Name:A
Authorized Official - Last Name:KANELOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:574-218-0926
Mailing Address - Street 1:1251 W BROADWAY ST STE A
Mailing Address - Street 2:
Mailing Address - City:MONTICELLO
Mailing Address - State:IN
Mailing Address - Zip Code:47960-1880
Mailing Address - Country:US
Mailing Address - Phone:574-218-0926
Mailing Address - Fax:574-583-2600
Practice Address - Street 1:1251 W BROADWAY ST STE A
Practice Address - Street 2:
Practice Address - City:MONTICELLO
Practice Address - State:IN
Practice Address - Zip Code:47960-1880
Practice Address - Country:US
Practice Address - Phone:574-218-0926
Practice Address - Fax:574-583-2600
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-21
Last Update Date:2021-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care