MEDICARE: SPECIALTY HOME HEALTH CARE, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency	002416	IN

General Provider Information

NPI Number	:	1154324838
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SPECIALTY HOME HEALTH CARE, INC

Provider Business Mailing Address
First Line	:	331 KIMBER LN
Second Line	:
City	:	EVANSVILLE
State	:	IN
Zip	:	47715-2830
Country	:	US
Telephone Number	:	812-476-5404
Fax Number	:	812-476-5766

Provider Business Practice Location Address
First Line	:	331 KIMBER LN
Second Line	:
City	:	EVANSVILLE
State	:	IN
Zip	:	47715-2830
Country	:	US
Telephone Number	:	812-476-5404
Fax Number	:	812-476-5766

Authorized Official
Title or Position	:	ADMINISTRATOR/OWNER
Name	:	MRS. SARAH BETH CLAYCOMB
Credential	:	RN, BSN
Telephone Number	:	812-476-5404

Provider Enumeration Date	:	05/24/2005
Last Update Date	:	08/22/2020

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Directions to “SPECIALTY HOME HEALTH CARE, INC ” Practice Location

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