Professional Nursing Home Health Care LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

PROFESSIONAL NURSING HOME HEALTH CARE LLC

Practice address

1928 Inwood Dr
Fort Wayne, IN 46815-7111

Phone

(260) 271-2711

Fax

(260) 271-2710

NPI assigned

Sep 21, 2022

Organization subpart

No

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

Authorized official

Name

Lun Thang

Title

Owner

Phone

(260) 271-2711

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Home health agency certification: CCN 15K244

Legal name

PROFESSIONAL NURSING HOME HEALTH CARE LLC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Mar 11, 2026

Last certification

Mar 11, 2026

Ownership / control type

Proprietary

Facility address

1928 Inwood Dr
Fort Wayne, IN 46815

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1663718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768176000000",
    "number": "1912620220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1928 INWOOD DR",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468157111",
            "telephone_number": "260-271-2711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1928 INWOOD DR",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468157111",
            "telephone_number": "260-271-2711",
            "fax_number": "260-271-2710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL NURSING HOME HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-21",
        "last_updated": "2026-01-12",
        "certification_date": "2026-01-12",
        "status": "A",
        "authorized_official_last_name": "THANG",
        "authorized_official_first_name": "LUN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "260-271-2711"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Fort Wayne, IN
• Providers in Fort Wayne, 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 Jan 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.