Provider Demographics
NPI:1881314466
Name:HOME IS WHERE THE HEART IS HOME HEALTHCARE NURSING AGENCY, INC
Entity type:Organization
Organization Name:HOME IS WHERE THE HEART IS HOME HEALTHCARE NURSING AGENCY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FREDRICK
Authorized Official - Middle Name:L
Authorized Official - Last Name:BENSON
Authorized Official - Suffix:
Authorized Official - Credentials:OWNER
Authorized Official - Phone:260-387-6369
Mailing Address - Street 1:2478 LAKE AVE
Mailing Address - Street 2:
Mailing Address - City:FORT WAYNE
Mailing Address - State:IN
Mailing Address - Zip Code:46805-5406
Mailing Address - Country:US
Mailing Address - Phone:260-387-6369
Mailing Address - Fax:260-387-6370
Practice Address - Street 1:2478 LAKE AVE
Practice Address - Street 2:
Practice Address - City:FORT WAYNE
Practice Address - State:IN
Practice Address - Zip Code:46805-5406
Practice Address - Country:US
Practice Address - Phone:260-387-6369
Practice Address - Fax:260-387-6370
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-01
Last Update Date:2022-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health