CCN: 157705 NPI: 1770932915 Organization

AGE IN PLACE HOME SERVICES LLC

288 HOME ST
HUNTINGTON, IN 467501347

Contact Information

Phone 2602001407
Fax 2602001408
Enumeration Date 2016-06-08
Last Updated 2019-02-04

Taxonomies

Code: 253Z00000X License State: IN License: 16-013923-1
Code: 251E00000X (Primary)

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 4

cbsaActualGeographicLocation 15

providerType 36

censusDivision 4

cbsaActualGeographicLocation 15

providerType 36

censusDivision 4

cbsaActualGeographicLocation 15

providerType 36

censusDivision 4

cbsaActualGeographicLocation 15

providerType 36

censusDivision 4

cbsaActualGeographicLocation 15

providerType 36

censusDivision 4

cbsaActualGeographicLocation 15

providerType 36

censusDivision 4

cbsaActualGeographicLocation 15

providerType 36

censusDivision 4

cbsaActualGeographicLocation 15

providerType 36

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 15

providerType 36

specialPaymentIndicator

carrierCode 08102

localityCode 00