Provider Demographics
NPI:1629806823
Name:CONCEPT THERAPY HOME HEALTH LLC
Entity type:Organization
Organization Name:CONCEPT THERAPY HOME HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ARKADIUSZ
Authorized Official - Middle Name:
Authorized Official - Last Name:DEBICKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:574-292-6230
Mailing Address - Street 1:3222 E MISHAWAKA AVE
Mailing Address - Street 2:
Mailing Address - City:SOUTH BEND
Mailing Address - State:IN
Mailing Address - Zip Code:46615-2352
Mailing Address - Country:US
Mailing Address - Phone:574-255-8730
Mailing Address - Fax:574-217-8235
Practice Address - Street 1:3222 E MISHAWAKA AVE
Practice Address - Street 2:
Practice Address - City:SOUTH BEND
Practice Address - State:IN
Practice Address - Zip Code:46615-2352
Practice Address - Country:US
Practice Address - Phone:574-255-8730
Practice Address - Fax:574-217-8235
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-22
Last Update Date:2024-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health