111 HOME HEALTH CARE AGENCY
NPI 1245558808
Home Health in Elkhart, IN

Active since May 06, 2010
336 W GARFIELD AVE, ELKHART, IN 46516(574) 293-6682(574) 293-7947 Get Directions Write a Review

NPPES record last updated: May 6, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About 111 Home Health Care Agency NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

111 HOME HEALTH CARE AGENCY (NPI 1245558808) is a healthcare organization registered as a home health in Elkhart, Indiana and active in the NPI registry since May 2010. The organization lists Lavern I Suggs, Ceo, as its authorized official.

NPPES Registry Identity

NPI1245558808
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business Name111 HOME HEALTH CARE AGENCY
Location Address336 W GARFIELD AVEElkhart, IN 46516-2501
Mailing Address336 W Garfield AveElkhart, IN 46516-2501 · (574) 293-6682 · Fax (574) 293-7947
Fax(574) 293-7947
Organization SubpartNo
Authorized OfficialLavern I SuggsCeo · (574) 293-6682
Enumeration DateMay 6, 2010
NPI 1245558808 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
336 W GARFIELD AVE, Elkhart, IN 46516

Other Identifiers 1

MedicaidPENDINGIN

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

In Home Supportive Care
336 W GARFIELD AVE
ELKHART, IN 46516

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is 111 Home Health Care Agency's NPI number?

The NPI number for 111 Home Health Care Agency is 1245558808. It was assigned to this organization in the NPPES registry on May 6, 2010.

Where is 111 Home Health Care Agency located?

111 Home Health Care Agency is located at 336 W Garfield Ave, Elkhart, IN 46516. The listed phone number is (574) 293-6682.

What is 111 Home Health Care Agency's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

When was this NPI record last updated?

The NPPES record for 111 Home Health Care Agency was last updated on May 6, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.