Provider Demographics
NPI:1952616815
Name:CARING HANDS HOME, LLC
Entity Type:Organization
Organization Name:CARING HANDS HOME, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DEBBIE
Authorized Official - Middle Name:
Authorized Official - Last Name:JOVANOVICH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:765-832-6588
Mailing Address - Street 1:1508 S 9TH ST
Mailing Address - Street 2:
Mailing Address - City:CLINTON
Mailing Address - State:IN
Mailing Address - Zip Code:47842-2511
Mailing Address - Country:US
Mailing Address - Phone:765-832-6750
Mailing Address - Fax:765-832-6755
Practice Address - Street 1:1508 S 9TH ST
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:IN
Practice Address - Zip Code:47842-2511
Practice Address - Country:US
Practice Address - Phone:765-832-6750
Practice Address - Fax:765-832-6755
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-16
Last Update Date:2010-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN10-012304-1251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health