Healthcare Provider Details

I. General information

NPI: 1124955810
Provider Name (Legal Business Name): HABAH HOMECARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/06/2026
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8500 GRANT CIR APT B-116
MERRILLVILLE IN
46410-6766
US

IV. Provider business mailing address

PO BOX 441
PORTAGE IN
46368-0441
US

V. Phone/Fax

Practice location:
  • Phone: 219-416-4361
  • Fax:
Mailing address:
  • Phone: 219-416-4361
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: IDOWU AFEEZ AYINDE
Title or Position: OWNER
Credential:
Phone: 219-416-4361