Provider Demographics
NPI:1487993515
Name:MISSION IN HOME HEALTH CARE, LLC
Entity type:Organization
Organization Name:MISSION IN HOME HEALTH CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:DIANA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:ENGLAND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:812-586-0436
Mailing Address - Street 1:190 W BECKS MILL RD STE F
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:IN
Mailing Address - Zip Code:47167-6942
Mailing Address - Country:US
Mailing Address - Phone:812-586-0436
Mailing Address - Fax:812-586-0437
Practice Address - Street 1:190 W BECKS MILL RD STE F
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:IN
Practice Address - Zip Code:47167-6942
Practice Address - Country:US
Practice Address - Phone:812-586-0436
Practice Address - Fax:812-586-0437
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-08
Last Update Date:2013-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN13-013112-1251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health