Provider Demographics
NPI:1366713265
Name:TURNER HOME HEALTHCARE
Entity type:Organization
Organization Name:TURNER HOME HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:LETA
Authorized Official - Middle Name:F
Authorized Official - Last Name:COVINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:PHD,MBA,MA,BS
Authorized Official - Phone:269-639-1508
Mailing Address - Street 1:10871 68TH ST
Mailing Address - Street 2:P.O. BOX 267
Mailing Address - City:SOUTH HAVEN
Mailing Address - State:MI
Mailing Address - Zip Code:49090-8729
Mailing Address - Country:US
Mailing Address - Phone:269-639-1508
Mailing Address - Fax:
Practice Address - Street 1:10871 68TH ST
Practice Address - Street 2:
Practice Address - City:SOUTH HAVEN
Practice Address - State:MI
Practice Address - Zip Code:49090-8729
Practice Address - Country:US
Practice Address - Phone:269-639-1508
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CHURCH OF GOD TURNER TENDERCARE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-01-24
Last Update Date:2012-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health