Provider Demographics
NPI:1780350694
Name:SAFE AND SOUND HOME MODIFICATIONS LLC
Entity type:Organization
Organization Name:SAFE AND SOUND HOME MODIFICATIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:
Authorized Official - Last Name:MITSCHELEN
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:317-340-3754
Mailing Address - Street 1:9024 RIDER DR
Mailing Address - Street 2:
Mailing Address - City:FISHERS
Mailing Address - State:IN
Mailing Address - Zip Code:46038-3441
Mailing Address - Country:US
Mailing Address - Phone:765-460-6056
Mailing Address - Fax:
Practice Address - Street 1:9024 RIDER DR
Practice Address - Street 2:
Practice Address - City:FISHERS
Practice Address - State:IN
Practice Address - Zip Code:46038-3441
Practice Address - Country:US
Practice Address - Phone:765-460-6056
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-19
Last Update Date:2021-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XE0001XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistEnvironmental ModificationGroup - Multi-Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty