Provider Demographics
NPI:1528772852
Name:GUIDANCE IN HOME CARE LLC
Entity type:Organization
Organization Name:GUIDANCE IN HOME CARE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ODESSA
Authorized Official - Middle Name:RENE
Authorized Official - Last Name:BRADLEY
Authorized Official - Suffix:
Authorized Official - Credentials:IN HOME CARE
Authorized Official - Phone:256-447-5392
Mailing Address - Street 1:20367 AL HIGHWAY 9
Mailing Address - Street 2:
Mailing Address - City:PIEDMONT
Mailing Address - State:AL
Mailing Address - Zip Code:36272-7818
Mailing Address - Country:US
Mailing Address - Phone:256-447-5392
Mailing Address - Fax:
Practice Address - Street 1:20367 AL HIGHWAY 9
Practice Address - Street 2:
Practice Address - City:PIEDMONT
Practice Address - State:AL
Practice Address - Zip Code:36272-7818
Practice Address - Country:US
Practice Address - Phone:256-447-5392
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GUIDANCE IN HOME CARE LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-01-11
Last Update Date:2023-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health