Provider Demographics
NPI:1386212546
Name:MEMORIAL HOME HEALTH SERVICES, LLC
Entity type:Organization
Organization Name:MEMORIAL HOME HEALTH SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP LEGAL AFFAIRS
Authorized Official - Prefix:
Authorized Official - First Name:DEBBIE
Authorized Official - Middle Name:
Authorized Official - Last Name:KIRSCHMAN
Authorized Official - Suffix:
Authorized Official - Credentials:JD
Authorized Official - Phone:937-299-1111
Mailing Address - Street 1:1050 FORRER BLVD
Mailing Address - Street 2:
Mailing Address - City:KETTERING
Mailing Address - State:OH
Mailing Address - Zip Code:45420-3640
Mailing Address - Country:US
Mailing Address - Phone:937-299-1111
Mailing Address - Fax:
Practice Address - Street 1:7029 TAFT ST
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33024-3864
Practice Address - Country:US
Practice Address - Phone:954-276-8300
Practice Address - Fax:954-981-0457
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-15
Last Update Date:2021-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health