Provider Demographics
NPI:1841662210
Name:HANSON HOME CARE, LLC
Entity type:Organization
Organization Name:HANSON HOME CARE, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:KEITH
Authorized Official - Last Name:HANSON
Authorized Official - Suffix:JR
Authorized Official - Credentials:RN
Authorized Official - Phone:937-217-9330
Mailing Address - Street 1:1080 ARBORWOOD CT
Mailing Address - Street 2:
Mailing Address - City:BATAVIA
Mailing Address - State:OH
Mailing Address - Zip Code:45103-2564
Mailing Address - Country:US
Mailing Address - Phone:937-217-9330
Mailing Address - Fax:
Practice Address - Street 1:1080 ARBORWOOD CT
Practice Address - Street 2:
Practice Address - City:BATAVIA
Practice Address - State:OH
Practice Address - Zip Code:45103-2564
Practice Address - Country:US
Practice Address - Phone:937-217-9330
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-26
Last Update Date:2015-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health