MEDICARE: THE HOME HEALTH NETWORK 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	:	1972738243
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE HOME HEALTH NETWORK INC.

Provider Business Mailing Address
First Line	:	5113 THORNHILL LN
Second Line	:
City	:	ANDERSON
State	:	IN
Zip	:	46011-8728
Country	:	US
Telephone Number	:	260-435-1411
Fax Number	:	260-435-3330

Provider Business Practice Location Address
First Line	:	6333 CONSTITUTION DR
Second Line	:
City	:	FORT WAYNE
State	:	IN
Zip	:	46804-1547
Country	:	US
Telephone Number	:	260-435-1411
Fax Number	:	260-435-3330

Authorized Official
Title or Position	:	PRESIDENT CIO
Name	:	DARYL N HOPPES
Credential	:
Telephone Number	:	290-435-1411

Provider Enumeration Date	:	05/15/2009
Last Update Date	:	02/17/2010

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