HOME AWAY FROM HOME
NPI 1316092265
Custodial Care Facility - Adult Care Home in Valparaiso, IN

Active since January 23, 2007
2405 PRIMROSE DR # 07, VALPARAISO, IN 46383(219) 476-4253 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Custodial Care Facility
  • Adult Care Home

About HOME AWAY FROM HOME

This page provides the complete NPI Profile along with additional information for Home Away From Home, a provider established in Valparaiso, Indiana operating as a Custodial Care Facility, focusing in adult care home . The healthcare provider is registered in the NPI registry with number 1316092265 assigned on January 2007. The practitioner's primary taxonomy code is 311ZA0620X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's is doing business as Home Away From Home. The authorized official of this NPI record is Ms. Traci A Quinn B.s.n.r,n. (Exec.director)

NPI
1316092265 Verify this NPI
Provider Legal Name
WE CARE DENTAL & HEALTH SERVICES
Other Organization Name
HOME AWAY FROM HOME
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
2405 PRIMROSE DR # 07 VALPARAISO, IN 46383
Location Phone
(219) 476-4253
Mailing Address
804 MONROE ST VALPARAISO, IN 46383
Mailing Phone
(219) 531-6799
Mailing Fax
(219) 476-4253
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-23-2007
Last Update Date
08-22-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Custodial Care Facility Adult Care Home

Taxonomy Code
311ZA0620X
Type
Nursing & Custodial Care Facilities
License State
IN
Taxonomy Description
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MS. TRACI A QUINN B.S.N.R,N.

Authorized Official Title
EXEC.DIRECTOR
Authorized Official Phone
(219) 531-6799

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1316092265, enumerated as an "organization" on January 23, 2007.

The provider is located at 2405 PRIMROSE DR # 07 VALPARAISO, IN 46383 and the phone number is (219) 476-4253.

Custodial Care Facility with taxonomy code 311ZA0620X and a focus in Adult Care Home.