=====================================================
General NPI Number Information
=====================================================
NPI Number | 1295057271
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | HOME HEALTH SOLUTIONS, INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/18/2010
-----------------------------------------------------
Last Update Date | 02/18/2010
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 515 S JEFFERS ST
-----------------------------------------------------
City | NORTH PLATTE
-----------------------------------------------------
State | NE
-----------------------------------------------------
Zip | 69101-5311
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 308-696-0959
-----------------------------------------------------
Fax | 308-696-0961
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 515 S JEFFERS ST
-----------------------------------------------------
City | NORTH PLATTE
-----------------------------------------------------
State | NE
-----------------------------------------------------
Zip | 69101-5311
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 308-696-0959
-----------------------------------------------------
Fax | 308-696-0961
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | ADMINISTRATOR
-----------------------------------------------------
Name | JENNIFER M SMITH
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 308-696-0959
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number | HHA200902
-----------------------------------------------------
License Number State | NE
-----------------------------------------------------