Active NPI
Hand in Hand in-Home Care, LLC
- In Home Supportive Care Agency
- Fort Wayne, IN
National Provider Identifier
1124806070
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Primary | ||
| Attendant Care Provider | 3747A0650X | |||
| Homemaker | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 23-011761-1 | Other | IN | INDIANA DEPARTMENT OF HEALTH |
| 300008012 | Medicaid | IN |
Other names 1
- Absolute Angels
National Provider Directory
National Provider DirectoryNPI 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.