Organization Active NPI

Hand in Hand in-Home Care, LLC

  • In Home Supportive Care Agency
  • Fort Wayne, IN
National Provider Identifier
1124806070
Registry record updated Sep 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
HAND IN HAND IN-HOME CARE, LLC
Practice address
12209 Bufflehead Run
Fort Wayne, IN 46845-9153
Phone
(260) 414-3233
Fax
(260) 408-6691
NPI assigned
Sep 20, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Donald E Maurice Jr.
Title
Member
Phone
(260) 414-3233

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary
Attendant Care ProviderGroup: 193200000X MULTI-SPECIALTY GROUP 3747A0650X
HomemakerGroup: 193200000X MULTI-SPECIALTY GROUP 376J00000X

Addresses

Primary practice location

12209 Bufflehead Run
Fort Wayne, IN 46845-9153

Mailing address

PO Box 214
Leo, IN 46765-0214
Phone (260) 414-3233

Other identifiers 2

IdentifierTypeStateIssuer
23-011761-1OtherININDIANA DEPARTMENT OF HEALTH
300008012MedicaidIN

Other names 1

  • Absolute Angels Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1695168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695168000000",
    "number": "1124806070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 214",
            "city": "LEO",
            "state": "IN",
            "postal_code": "467650214",
            "telephone_number": "260-414-3233",
            "fax_number": "260-408-6691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12209 BUFFLEHEAD RUN",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468459153",
            "telephone_number": "260-414-3233",
            "fax_number": "260-408-6691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAND IN HAND IN-HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-20",
        "last_updated": "2023-09-20",
        "certification_date": "2022-08-08",
        "status": "A",
        "authorized_official_last_name": "MAURICE",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "260-414-3233",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3747A0650X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Attendant Care Provider",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIANA DEPARTMENT OF HEALTH",
            "identifier": "23-011761-1",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300008012",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Absolute Angels",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Wayne, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.