MEDICARE: HELPING HANDS IN-HOME 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		IN

General Provider Information

NPI Number	:	1275810111
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HELPING HANDS IN-HOME CARE, INC

Provider Business Mailing Address
First Line	:	10202 W. 400 N.
Second Line	:
City	:	MICHIGAN CITY
State	:	IN
Zip	:	46360-9470
Country	:	US
Telephone Number	:	219-561-8555
Fax Number	:

Provider Business Practice Location Address
First Line	:	10202 W 400 N
Second Line	:
City	:	MICHIGAN CITY
State	:	IN
Zip	:	46360-9470
Country	:	US
Telephone Number	:	219-561-8555
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. ZACHARY M. KRACHINSKI
Credential	:
Telephone Number	:	219-561-8555

Provider Enumeration Date	:	11/07/2011
Last Update Date	:	11/07/2011

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