Firefly Home Care LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

15-013021-1 Issued in IN

Legal business name

FIREFLY HOME CARE LLC

Practice address

100 South Main Street
Middlebury, IN 46540

Phone

(574) 830-6121

NPI assigned

Aug 28, 2016

Last updated

Aug 28, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Amy Manifold, RN, BSN

Title

Director of Client Services / Owner

Phone

(574) 830-6121

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1472342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472342400000",
    "number": "1629524988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 SOUTH MAIN STREET",
            "address_2": "P.O. BOX 4",
            "city": "MIDDLEBURY",
            "state": "IN",
            "postal_code": "46540",
            "telephone_number": "574-830-6121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 SOUTH MAIN STREET",
            "city": "MIDDLEBURY",
            "state": "IN",
            "postal_code": "46540",
            "telephone_number": "574-830-6121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIREFLY HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-28",
        "last_updated": "2016-08-28",
        "status": "A",
        "authorized_official_last_name": "MANIFOLD",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "DIRECTOR OF CLIENT SERVICES / OWNER",
        "authorized_official_telephone_number": "574-830-6121",
        "authorized_official_credential": "RN, BSN"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "IN",
            "license": "15-013021-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dorwyn C Collier, P.C. (Windsor WorkCare)
• Rachel E. Dunham, MD
• Leeann Marie Enix, NP
• Dawn Renee Ernsberger, LCSW
• David Fenwick
• Firefly Home Health LLC
• G. Weldon Friesen, MD
• Elizabeth B Gingrich, MD
• Gailya Nicole Go, FNP-C
• Amy Beth Goodman, M.S., CCC-SLP

• In Home Supportive Care Agency in Middlebury, IN
• Providers in Middlebury, IN by specialty
• In Home Supportive Care Agency in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2016; 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.