Memorial Home Care, Inc.
LBN: Memorial Home Care, Inc.
Memorial Home Care, Inc. is an health care organization with primary practice located at 3355 Douglas Rd , South Bend IN 46635-1781. The organization recently has 2 registered licenses in different health care specialties including Agencies / Home Health, Suppliers / Durable Medical Equipment & Medical Supplies. Suppliers / Durable Medical Equipment & Medical Supplies is the primary health care specialty.
Memorial Home Care, Inc. can be contacted via phone (574) 273-2273, or through Conrad, Greg via phone 15746478777.
Contact Information
Primary practice address
3355 Douglas Rd
South Bend IN 46635-1781
Phone: (574) 273-2273
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Home Health | 251E00000X | 10-012264-1 | Indiana |
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | 69000137A | Indiana |
Profile Details
| NPI number | 1053599613 |
|---|---|
| LBN Legal business name | Memorial Home Care, Inc. |
| DBA Doing business as | |
| Authorized official | Conrad, Greg |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 6th, 2008 |
| Last updated | Sep 20th, 2010 - about 16 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053599613 | NPPES |
| Indiana | MEDICAID | 100263690 | |
| Indiana | MEDICAID | 100301140A |
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