Provider Demographics
NPI:1336653112
Name:HANEY HOME HEALTH CARE LLC
Entity type:Organization
Organization Name:HANEY HOME HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CONTESSIA
Authorized Official - Middle Name:SHANESE
Authorized Official - Last Name:HANEY
Authorized Official - Suffix:
Authorized Official - Credentials:RMA, MBA
Authorized Official - Phone:317-400-8797
Mailing Address - Street 1:8371 CHADWOOD LANE EAST DR APT 1B
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46268-4506
Mailing Address - Country:US
Mailing Address - Phone:219-902-9446
Mailing Address - Fax:
Practice Address - Street 1:1232 ETON WAY
Practice Address - Street 2:
Practice Address - City:AVON
Practice Address - State:IN
Practice Address - Zip Code:46123-5593
Practice Address - Country:US
Practice Address - Phone:317-400-8797
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-30
Last Update Date:2024-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health