Healthcare Provider Details

I. General information

NPI: 1336072172
Provider Name (Legal Business Name): HEALING HORIZONS HOMECARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/03/2026
Last Update Date: 06/06/2026
Certification Date: 06/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1427 CARROLL RD
FORT WAYNE IN
46845-9374
US

IV. Provider business mailing address

1427 CARROLL RD
FORT WAYNE IN
46845-9374
US

V. Phone/Fax

Practice location:
  • Phone: 260-241-4642
  • Fax:
Mailing address:
  • Phone: 260-241-4642
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. ADAM M THATCHER
Title or Position: OWNER
Credential: REGISTERED NURSE
Phone: 260-241-4642