Provider Demographics
NPI:1962759662
Name:HAMILTON'S HOME CARE
Entity type:Organization
Organization Name:HAMILTON'S HOME CARE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MISS
Authorized Official - First Name:ROMUNDA
Authorized Official - Middle Name:SHUNTA
Authorized Official - Last Name:HAMILTON
Authorized Official - Suffix:
Authorized Official - Credentials:OWNER
Authorized Official - Phone:870-567-7388
Mailing Address - Street 1:305 N MOCKINGBIRD LN
Mailing Address - Street 2:
Mailing Address - City:HOPE
Mailing Address - State:AR
Mailing Address - Zip Code:71801-3251
Mailing Address - Country:US
Mailing Address - Phone:870-568-7388
Mailing Address - Fax:
Practice Address - Street 1:305 N MOCKINGBIRD LN
Practice Address - Street 2:
Practice Address - City:HOPE
Practice Address - State:AR
Practice Address - Zip Code:71801-3251
Practice Address - Country:US
Practice Address - Phone:870-568-7388
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-13
Last Update Date:2012-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care