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NPI 1376816702

OrganizationActive

111home Health Care Agency

NPI 1376816702 · In Home Supportive Care Agency · Elkhart, IN

Provider details

NPI number: 1376816702
Entity type: Organization
Primary specialty: In Home Supportive Care AgencyAgencies
Authorized official: Lavern Suggs, Ceo
License: 11-012725-1 (IN)

Practice location

336 W Garfield Ave

Elkhart, IN 46516-2501

Phone: (574) 350-9831

Fax: (574) 293-7947

More IN providers

Mailing address

336 W Garfield Ave

Elkhart, IN 46516-2501

Registry dates

Enumerated: 2012-02-15
Last updated: 2012-02-15

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

111home Health Care Agency — NPI 1376816702, Elkhart, IN | NPI Central