111 Home Health Care Agency

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

111 HOME HEALTH CARE AGENCY

Practice address

336 W Garfield Ave
Elkhart, IN 46516-2501

Phone

(574) 293-6682

Fax

(574) 293-7947

NPI assigned

May 6, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Lavern I Suggs, LPN

Title

Ceo

Phone

(574) 293-6682

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

111 Home Health Care Agency2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• 111Home Health Care Agency

  • In Home Supportive Care Agency
  • Elkhart, IN
  • NPI 1376816702
  NPD tax ID

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

{
    "created_epoch": "1273104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273104000000",
    "number": "1245558808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "336 W GARFIELD AVE",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465162501",
            "telephone_number": "574-293-6682",
            "fax_number": "574-293-7947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "336 W GARFIELD AVE",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465162501",
            "telephone_number": "574-293-6682",
            "fax_number": "574-293-7947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "111 HOME HEALTH CARE AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-06",
        "last_updated": "2010-05-06",
        "status": "A",
        "authorized_official_last_name": "SUGGS",
        "authorized_official_first_name": "LAVERN",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "574-293-6682",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• 111Home Health Care Agency
• 42 North Dental Care of Indiana, LLC
• Abbott Eye Clinic Inc PC
• Kenneth W Abbott, MD
• Gerald Abell II, RBT

• Home Health Agency in Elkhart, IN
• Providers in Elkhart, IN by specialty
• Home Health Agency in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2010; 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.