Provider Demographics
NPI:1316468135
Name:IMMACULATE HOME HEALTH SERVICES, INC.
Entity type:Organization
Organization Name:IMMACULATE HOME HEALTH SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ANH
Authorized Official - Middle Name:
Authorized Official - Last Name:LAPSLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-527-9715
Mailing Address - Street 1:5426 WOOD HOLLOW DR
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46239-6899
Mailing Address - Country:US
Mailing Address - Phone:317-527-9715
Mailing Address - Fax:
Practice Address - Street 1:5426 WOOD HOLLOW DR
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46239-6899
Practice Address - Country:US
Practice Address - Phone:317-527-9715
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:IMMACULATE HOME HEALTH SERVICES, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-06-30
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No332U00000XSuppliersHome Delivered Meals
No347E00000XTransportation ServicesTransportation Broker