111HOME PERSONAL CARE AGENCY
NPI 1376816702
In Home Supportive Care in Elkhart, IN

Active since February 15, 2012
336 W GARFIELD AVE, ELKHART, IN 46516(574) 350-9831(574) 293-7947 Get Directions Write a Review

NPPES record last updated: February 15, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About 111home Personal Care Agency NPPES

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

111HOME PERSONAL CARE AGENCY (NPI 1376816702) is a healthcare organization registered as an in home supportive care in Elkhart, Indiana and active in the NPI registry since February 2012. The organization lists Lavern I Suggs, Ceo, as its authorized official.

NPPES Registry Identity

NPI1376816702
Entity TypeOrganization
Primary Taxonomy253Z00000X
Legal Business Name111HOME HEALTH CARE AGENCY
Location Address336 W GARFIELD AVEElkhart, IN 46516-2501
Mailing Address336 W Garfield AveElkhart, IN 46516-2501 · (574) 350-9831 · Fax (574) 293-7947
Fax(574) 293-7947
Organization SubpartNo
Authorized OfficialLavern I SuggsCeo · (574) 350-9831
Enumeration DateFebruary 15, 2012
NPI 1376816702 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyIn Home Supportive CareAgencies
Taxonomy Code253Z00000X
License Licensed in IN · 11-012725-1
Definition
An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.
336 W GARFIELD AVE, Elkhart, IN 46516

Other Names 1

Doing Business As111home Personal Care Agency

Other Providers at the Same Location NPPES

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

Home Health
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 111home Health Care Agency's NPI number?

The NPI number for 111home Health Care Agency is 1376816702. It was assigned to this organization in the NPPES registry on February 15, 2012. The provider is doing business as 111home Personal Care Agency.

Where is 111home Health Care Agency located?

111home Health Care Agency is located at 336 W Garfield Ave, Elkhart, IN 46516. The listed phone number is (574) 350-9831.

What is 111home Health Care Agency's specialty?

The primary specialty registered for this NPI is In Home Supportive Care with taxonomy code 253Z00000X.

When was this NPI record last updated?

The NPPES record for 111home Health Care Agency was last updated on February 15, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.