Healthcare Provider Details

I. General information

NPI: 1295200756
Provider Name (Legal Business Name): LENDING HANDS PERSONAL HOME CARE AGENCY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/10/2018
Last Update Date: 09/14/2021
Certification Date: 09/14/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 S ADAMS ST # 104
MARION IN
46952-4012
US

IV. Provider business mailing address

1240 S ADAMS ST STE 2
MARION IN
46953-2327
US

V. Phone/Fax

Practice location:
  • Phone: 765-669-2431
  • Fax:
Mailing address:
  • Phone: 765-573-6013
  • Fax: 765-382-0502

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: SHANNON THOMPKINS
Title or Position: OWNER
Credential:
Phone: 765-669-2431