Provider Demographics
NPI:1396895678
Name:TOTAL HOME HEALTH SERVICES, INC.
Entity type:Organization
Organization Name:TOTAL HOME HEALTH SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:JULIAN
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:ROBINSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:219-937-3750
Mailing Address - Street 1:620 RIDGE ROAD
Mailing Address - Street 2:
Mailing Address - City:MUNSTER
Mailing Address - State:IN
Mailing Address - Zip Code:46321
Mailing Address - Country:US
Mailing Address - Phone:219-937-3750
Mailing Address - Fax:219-937-3812
Practice Address - Street 1:770 N MAIN ST
Practice Address - Street 2:
Practice Address - City:CROWN POINT
Practice Address - State:IN
Practice Address - Zip Code:46307-3236
Practice Address - Country:US
Practice Address - Phone:219-937-3750
Practice Address - Fax:219-937-3812
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-11
Last Update Date:2023-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN004658251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200828630Medicaid
IN200828630AMedicaid
IN157570Medicare ID - Type UnspecifiedMEDICARE PROVIDER ID NUMB