Provider Demographics
NPI:1780964122
Name:SAFE AT HOME HEALTHCARE, LLC
Entity type:Organization
Organization Name:SAFE AT HOME HEALTHCARE, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DEANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:FORD
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:812-275-6797
Mailing Address - Street 1:717 LINCOLN AVE
Mailing Address - Street 2:SUITE C
Mailing Address - City:BEDFORD
Mailing Address - State:IN
Mailing Address - Zip Code:47421-2124
Mailing Address - Country:US
Mailing Address - Phone:812-275-6797
Mailing Address - Fax:812-275-7421
Practice Address - Street 1:717 LINCOLN AVE
Practice Address - Street 2:SUITE C
Practice Address - City:BEDFORD
Practice Address - State:IN
Practice Address - Zip Code:47421-2124
Practice Address - Country:US
Practice Address - Phone:812-275-6797
Practice Address - Fax:812-275-7421
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-17
Last Update Date:2011-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN11-012617-1251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health