Provider Demographics
NPI:1962870352
Name:HANDS ON IN HOME CARE, LLC.
Entity type:Organization
Organization Name:HANDS ON IN HOME CARE, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HEIDI
Authorized Official - Middle Name:
Authorized Official - Last Name:JACOBSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:715-790-3457
Mailing Address - Street 1:E6487 1370TH AVE
Mailing Address - Street 2:
Mailing Address - City:RIDGELAND
Mailing Address - State:WI
Mailing Address - Zip Code:54763-9439
Mailing Address - Country:US
Mailing Address - Phone:715-790-3457
Mailing Address - Fax:
Practice Address - Street 1:E6487 1370TH AVE
Practice Address - Street 2:
Practice Address - City:RIDGELAND
Practice Address - State:WI
Practice Address - Zip Code:54763-9439
Practice Address - Country:US
Practice Address - Phone:715-790-3457
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-02
Last Update Date:2015-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care