Provider Demographics
NPI:1336981984
Name:HOOSIER FAMILY HOME HEALTH CARE LLC
Entity type:Organization
Organization Name:HOOSIER FAMILY HOME HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHIJIOKE
Authorized Official - Middle Name:ANAELE
Authorized Official - Last Name:MBANU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-732-7683
Mailing Address - Street 1:1060 E MAIN ST STE 405406
Mailing Address - Street 2:
Mailing Address - City:BROWNSBURG
Mailing Address - State:IN
Mailing Address - Zip Code:46112-1408
Mailing Address - Country:US
Mailing Address - Phone:317-732-7683
Mailing Address - Fax:
Practice Address - Street 1:1060 E MAIN ST STE 405406
Practice Address - Street 2:
Practice Address - City:BROWNSBURG
Practice Address - State:IN
Practice Address - Zip Code:46112-1408
Practice Address - Country:US
Practice Address - Phone:317-732-7683
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-12
Last Update Date:2025-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health