Provider Demographics
NPI:1124806070
Name:HAND IN HAND IN-HOME CARE, LLC
Entity type:Organization
Organization Name:HAND IN HAND IN-HOME CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:E
Authorized Official - Last Name:MAURICE
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:260-414-3233
Mailing Address - Street 1:PO BOX 214
Mailing Address - Street 2:
Mailing Address - City:LEO
Mailing Address - State:IN
Mailing Address - Zip Code:46765-0214
Mailing Address - Country:US
Mailing Address - Phone:260-414-3233
Mailing Address - Fax:260-408-6691
Practice Address - Street 1:12209 BUFFLEHEAD RUN
Practice Address - Street 2:
Practice Address - City:FORT WAYNE
Practice Address - State:IN
Practice Address - Zip Code:46845-9153
Practice Address - Country:US
Practice Address - Phone:260-414-3233
Practice Address - Fax:260-408-6691
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-20
Last Update Date:2023-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253Z00000XAgenciesIn Home Supportive CareGroup - Multi-Specialty
No3747A0650XNursing Service Related ProvidersTechnicianAttendant Care ProviderGroup - Multi-Specialty
No376J00000XNursing Service Related ProvidersHomemakerGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN23-011761-1OtherINDIANA DEPARTMENT OF HEALTH
IN300008012Medicaid